CLIA lab

CLIA 04D0465263: Ach Pine Bluff Clinic

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

CLIA number 04D0465263 belongs to Ach Pine Bluff Clinic in Pine Bluff, AR.

Certificate of Waiver, effective April 19, 2025, expires April 18, 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
April 19, 2025
Certificate expiration
April 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Private
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
04D0465263
Lab name
Ach Pine Bluff Clinic
Address
1500 West 42nd Avenue, Pine Bluff, AR 71603
Phone
(870) 556-7000
Fax
(870) 556-7019

Annual test volume the lab reported

Waived tests
4,191

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Pine Bluff, AR

Related

Questions

What is the CLIA number for Ach Pine Bluff Clinic in Pine Bluff?

04D0465263, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ach Pine Bluff Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0465263 expire?

The CMS file lists April 18, 2027 as the certificate expiration date; the certificate took effect April 19, 2025.

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