CLIA lab
CLIA 04D2269189: Rose Drug of Dardanelle
Dardanelle, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2269189 belongs to Rose Drug of Dardanelle in Dardanelle, AR.
Certificate of Waiver, effective September 22, 2026, expires September 21, 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
- September 22, 2026
- Certificate expiration
- September 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 22, 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
- 04D2269189
- Lab name
- Rose Drug of Dardanelle
- Address
- 1176 W State Hwy 22, Ste A, Dardanelle, AR 72834
- Phone
- (479) 229-4040
- Fax
- (479) 229-4049
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 Dardanelle, AR
- Access Medical Clinic DardanelleCertificate of Waiver, Rural health clinic04D2122991
- Dardanelle Hospital LLCCertificate of Accreditation, Hospital04D0469061
- Dardanelle Nursing and Rehabilitation Center IncCertificate of Waiver, Skilled nursing or nursing facility04D0855871
- Dardanelle Regional Medical ClinicCertificate of Waiver, Community clinic04D2198146
- Kirkland Family Medical CenterCertificate of Waiver, Physician office04D1087015
- Millard Henry Clinic of DardanelleCertificate of Compliance, Physician office04D2263770
- Tyson Poultry, Inc - Dardanelle, ArCertificate of Waiver, Other04D2162318
- Walmart Pharmacy 10-0296Certificate of Waiver, Pharmacy04D2127846
Related
Questions
What is the CLIA number for Rose Drug of Dardanelle in Dardanelle?
04D2269189, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rose Drug of Dardanelle hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2269189 expire?
The CMS file lists September 21, 2028 as the certificate expiration date; the certificate took effect September 22, 2026.