CLIA lab
CLIA 04D2272805: Sam Alexander Pharmacy
Harrison, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2272805 belongs to Sam Alexander Pharmacy in Harrison, AR.
Certificate of Waiver, effective November 30, 2024, expires November 29, 2026.
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
- November 30, 2024
- Certificate expiration
- November 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 30, 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
- 04D2272805
- Lab name
- Sam Alexander Pharmacy
- Address
- 127 N Main St, Harrison, AR 72601
- Phone
- (870) 741-6511
- Fax
- (870) 365-0216
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Baxter Health Premier Family ClinicCertificate of Compliance, Physician office04D1050346
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Related
Questions
What is the CLIA number for Sam Alexander Pharmacy in Harrison?
04D2272805, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam Alexander Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2272805 expire?
The CMS file lists November 29, 2026 as the certificate expiration date; the certificate took effect November 30, 2024.