CLIA lab
CLIA 04D2253576: Pharmacy of Shannon Hills, the
Mabelvale, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2253576 belongs to Pharmacy of Shannon Hills, the in Mabelvale, AR.
Certificate of Waiver, effective February 23, 2026, expires February 22, 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
- February 23, 2026
- Certificate expiration
- February 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 23, 2022
- 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
- 04D2253576
- Lab name
- Pharmacy of Shannon Hills, the
- Address
- 13907 High Rd, Mabelvale, AR 72103
- Phone
- (501) 451-7715
- Fax
- (501) 451-7761
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mabelvale, AR
Related
Questions
What is the CLIA number for Pharmacy of Shannon Hills, the in Mabelvale?
04D2253576, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pharmacy of Shannon Hills, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2253576 expire?
The CMS file lists February 22, 2028 as the certificate expiration date; the certificate took effect February 23, 2026.