CLIA lab
CLIA 04D2314146: State Line Pharmacy
Junction City, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2314146 belongs to State Line Pharmacy in Junction City, AR.
Certificate of Waiver, effective November 14, 2024, expires November 13, 2026.
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
- November 14, 2024
- Certificate expiration
- November 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 14, 2024
- 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
- 04D2314146
- Lab name
- State Line Pharmacy
- Address
- 501 N Main St, Junction City, AR 71749
- Phone
- (870) 843-6028
- Fax
- (833) 702-0960
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Junction City, AR
Related
Questions
What is the CLIA number for State Line Pharmacy in Junction City?
04D2314146, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does State Line Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2314146 expire?
The CMS file lists November 13, 2026 as the certificate expiration date; the certificate took effect November 14, 2024.