CLIA lab
CLIA 04D2275363: Wilson Bearden Pharmacy
Magnolia, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2275363 belongs to Wilson Bearden Pharmacy in Magnolia, AR.
Certificate of Waiver, effective January 20, 2025, expires January 19, 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 20, 2025
- Certificate expiration
- January 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 20, 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
- 04D2275363
- Lab name
- Wilson Bearden Pharmacy
- Address
- 134 N Washington, Magnolia, AR 71753
- Phone
- (870) 234-1062
- Fax
- (870) 234-8366
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.
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- Chester M Wynn MD PACertificate for Provider-Performed Microscopy Procedures, Physician office04D0880610
- Columbia County Ambulance ServiceCertificate of Waiver, Ambulance04D2198232
- Dynamic MedCertificate of Waiver, Other practitioner04D2292302
- Enhabit HospiceCertificate of Waiver, Hospice04D2119422
- Family Chiropractic CenterCertificate of Waiver, Physician office04D2155022
- Greenhouse Cottages of WentworthCertificate of Waiver, Skilled nursing or nursing facility04D2035914
- Hydroboost Drip and Wellness, LLCCertificate of Waiver, Other04D2343644
Related
Questions
What is the CLIA number for Wilson Bearden Pharmacy in Magnolia?
04D2275363, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wilson Bearden Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2275363 expire?
The CMS file lists January 19, 2027 as the certificate expiration date; the certificate took effect January 20, 2025.