CLIA lab
CLIA 04D2348484: Roland Drug Store
Perryville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2348484 belongs to Roland Drug Store in Perryville, AR.
Certificate of Waiver, effective August 6, 2026, expires August 5, 2028.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 6, 2026
- Certificate expiration
- August 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 6, 2026
- 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
- 04D2348484
- Lab name
- Roland Drug Store
- Address
- 112 Houston Avenue, Perryville, AR 72126
- Phone
- (501) 889-5111
- Fax
- (501) 889-2878
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 Perryville, AR
- Access Medical Clinic Arkansas LTC LLCCertificate of Waiver, Physician office04D2290507
- Baptist Health Family Clinic- PerryvilleCertificate for Provider-Performed Microscopy Procedures, Physician office04D0900911
- Perry County Nursing & Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility04D0909132
Related
Questions
What is the CLIA number for Roland Drug Store in Perryville?
04D2348484, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Roland Drug Store hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2348484 expire?
The CMS file lists August 5, 2028 as the certificate expiration date; the certificate took effect August 6, 2026.