CLIA lab
CLIA 04D2275312: Collier Drug - Prairie Grove
Prairie Grove, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2275312 belongs to Collier Drug - Prairie Grove in Prairie Grove, AR.
Certificate of Waiver, effective January 19, 2025, expires January 18, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 19, 2025
- Certificate expiration
- January 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 19, 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
- 04D2275312
- Lab name
- Collier Drug - Prairie Grove
- Address
- 801 E Douglas, Prairie Grove, AR 72753
- Phone
- (479) 846-2195
- Fax
- (479) 846-2147
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.
Other labs in Prairie Grove, AR
- Access Medical Clinic LLCCertificate of Waiver, Physician office04D2268884
- Mana Family Medicine Prairie GroveCertificate for Provider-Performed Microscopy Procedures, Physician office04D0930326
- Prairie Grove Health and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility04D0670714
- Prairie Grove School Based Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center04D2062313
Related
Questions
What is the CLIA number for Collier Drug - Prairie Grove in Prairie Grove?
04D2275312, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Collier Drug - Prairie Grove hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2275312 expire?
The CMS file lists January 18, 2027 as the certificate expiration date; the certificate took effect January 19, 2025.