CLIA lab

CLIA 04D2285951: Ellison Family Pharmacy

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

CLIA number 04D2285951 belongs to Ellison Family Pharmacy in Mena, AR.

Certificate of Waiver, effective July 20, 2025, expires July 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
July 20, 2025
Certificate expiration
July 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 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
04D2285951
Lab name
Ellison Family Pharmacy
Address
601 Hwy 71 N, Mena, AR 71953
Phone
(479) 385-9400

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.

Other labs in Mena, AR

Related

Questions

What is the CLIA number for Ellison Family Pharmacy in Mena?

04D2285951, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ellison Family Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2285951 expire?

The CMS file lists July 19, 2027 as the certificate expiration date; the certificate took effect July 20, 2025.

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