CLIA lab
CLIA 04D2278090: Whitehall Pharmacy LLC #4
Pine Bluff, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2278090 belongs to Whitehall Pharmacy LLC #4 in Pine Bluff, AR.
Certificate of Waiver, effective March 10, 2025, expires March 9, 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
- March 10, 2025
- Certificate expiration
- March 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 10, 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
- 04D2278090
- Lab name
- Whitehall Pharmacy LLC #4
- Address
- 2701 E Harding Ave, Pine Bluff, AR 71601
- Phone
- (870) 380-6901
- Fax
- (870) 380-6909
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pine Bluff, AR
- Ach Pine Bluff ClinicCertificate of Waiver, Physician office04D0465263
- Arcare 140Certificate of Waiver, Federally qualified health center04D2349439
- Arcare 155Certificate of Waiver, Federally qualified health center04D2325162
- Archwell Health - Pine BluffCertificate of Waiver, Physician office04D2315883
- Arkansas Dept of Correction Health SVCCertificate of Waiver, Other02D0682823
- Autonomy Healthcare ProvidersCertificate of Waiver, Physician office04D2271274
- Buckhanan RecoveryCertificate of Waiver, Other04D2299468
- Cavhs Pine BluffCertificate of Accreditation, Community clinic04D2185025
- Central Arkansas Radiation Therapy InstituteCertificate of Accreditation, Physician office04D2194416
- Children's Advocacy Center of Southeast ArkansasCertificate of Waiver, Other04D2275776
Related
Questions
What is the CLIA number for Whitehall Pharmacy LLC #4 in Pine Bluff?
04D2278090, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Whitehall Pharmacy LLC #4 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2278090 expire?
The CMS file lists March 9, 2027 as the certificate expiration date; the certificate took effect March 10, 2025.