CLIA lab
CLIA 04D2273180: Portland Drug, LLC
Portland, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2273180 belongs to Portland Drug, LLC in Portland, AR.
Certificate of Waiver, effective December 8, 2024, expires December 7, 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
- December 8, 2024
- Certificate expiration
- December 7, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 8, 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
- 04D2273180
- Lab name
- Portland Drug, LLC
- Address
- 105 Hwy 165 South, Portland, AR 71663
- Phone
- (870) 737-2813
- Fax
- (870) 737-2781
Annual test volume the lab reported
- Waived tests
- 25
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Portland Drug, LLC in Portland?
04D2273180, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Portland Drug, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2273180 expire?
The CMS file lists December 7, 2026 as the certificate expiration date; the certificate took effect December 8, 2024.