CLIA lab
CLIA 04D2235853: Mitchell's Park Street Pharmacy, Inc
Calico Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2235853 belongs to Mitchell's Park Street Pharmacy, Inc in Calico Rock, AR.
Certificate of Waiver, effective September 13, 2025, expires September 12, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 13, 2025
- Certificate expiration
- September 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 2021
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2235853
- Lab name
- Mitchell's Park Street Pharmacy, Inc
- Address
- 526 Park Street, Calico Rock, AR 72519
- Phone
- (870) 297-8107
- Fax
- (870) 297-8799
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Calico Rock, AR
- Baxter Health Family Clinic at Calico RockCertificate of Waiver, Community clinic04D2137585
- Elite Home HealthCertificate of Waiver, Home health agency04D1089266
- Izard Regional HospitalCertificate of Compliance, Hospital04D0642313
- Izard Regional HospitalCertificate of Waiver, Rural health clinic04D1091240
- White River HealthcareCertificate of Waiver, Skilled nursing or nursing facility04D1024460
Related
Questions
What is the CLIA number for Mitchell's Park Street Pharmacy, Inc in Calico Rock?
04D2235853, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mitchell's Park Street Pharmacy, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2235853 expire?
The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.