CLIA lab
CLIA 04D2255925: CVS Pharmacy 10816
Rogers, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2255925 belongs to CVS Pharmacy 10816 in Rogers, AR.
Certificate of Waiver, effective March 18, 2026, expires March 17, 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
- March 18, 2026
- Certificate expiration
- March 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 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
- 04D2255925
- Lab name
- CVS Pharmacy 10816
- Additional name
- Arkansas CVS Pharmacy LLC
- Address
- 1749 Walnut St, Rogers, AR 72756
- Phone
- (866) 389-2727
- Fax
- (401) 652-1360
Annual test volume the lab reported
- Waived tests
- 13,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Access Home HealthCertificate of Waiver, Home health agency04D0701531
- Advanced Dermatology and Skin Cancer CenterCertificate of Compliance, Physician office04D2287758
- Advanced Wound Therapy - Ar LLCCertificate of Waiver, Physician office04D2324551
- Arkansas Children's Northwest-ClinicCertificate of Waiver, Physician office04D2261955
- Ashley Health and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility04D1068896
- Blossoms at Rogers, theCertificate of Waiver, Skilled nursing or nursing facility04D0678828
- Boozman Hof Regional Eye ClinicCertificate of Waiver, Physician office04D0911561
- Boozman-Hof Eye Surgery & Laser CenterCertificate of Waiver, Ambulatory surgery center04D0911562
- Camp War EagleCertificate of Waiver, Other04D2220937
Related
Questions
What is the CLIA number for CVS Pharmacy 10816 in Rogers?
04D2255925, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does CVS Pharmacy 10816 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2255925 expire?
The CMS file lists March 17, 2028 as the certificate expiration date; the certificate took effect March 18, 2026.