CLIA lab

CLIA 04D2274955: Wynne Apothecary Inc

Wynne, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2274955 belongs to Wynne Apothecary Inc in Wynne, AR.

Certificate of Waiver, effective January 12, 2025, expires January 11, 2027.

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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 12, 2025
Certificate expiration
January 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 12, 2023
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
04D2274955
Lab name
Wynne Apothecary Inc
Address
500 Falls Blvd N, Wynne, AR 72396
Phone
(870) 238-8511
Fax
(870) 238-2135

Annual test volume the lab reported

Waived tests
50

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Wynne, AR

Related

Questions

What is the CLIA number for Wynne Apothecary Inc in Wynne?

04D2274955, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wynne Apothecary Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2274955 expire?

The CMS file lists January 11, 2027 as the certificate expiration date; the certificate took effect January 12, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.