CLIA lab
CLIA 04D2248585: Prescription Shop Hazen
Hazen, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2248585 belongs to Prescription Shop Hazen in Hazen, AR.
Certificate of Waiver, effective January 14, 2026, expires January 13, 2028.
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
- January 14, 2026
- Certificate expiration
- January 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 14, 2022
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2248585
- Lab name
- Prescription Shop Hazen
- Address
- 202 South Livermore, Hazen, AR 72064
- Phone
- (870) 255-4403
- Fax
- (870) 255-3722
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Hazen, AR
Related
Questions
What is the CLIA number for Prescription Shop Hazen in Hazen?
04D2248585, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prescription Shop Hazen hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2248585 expire?
The CMS file lists January 13, 2028 as the certificate expiration date; the certificate took effect January 14, 2026.