CLIA lab
CLIA 04D0465387: Chicot Memorial Medical Center
Lake Village, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0465387 belongs to Chicot Memorial Medical Center in Lake Village, AR.
Certificate of Compliance, effective April 8, 2025, expires April 7, 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 Compliance
- Certificate effective
- April 8, 2025
- Certificate expiration
- April 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Hospital
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0465387
- Lab name
- Chicot Memorial Medical Center
- Address
- 2729 S Hwy 65 & 82, Lake Village, AR 71653
- Phone
- (870) 265-9284
- Fax
- (870) 265-9349
Annual test volume the lab reported
- Waived tests
- 6,600
- Provider-performed microscopy tests
- 938
- Other nonwaived tests
- 167,263
- Total
- 174,801
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Chicot Memorial Medical CenterCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Lake Village, AR
- Chicot Memorial Medical Center Home HealthCertificate of Waiver, Home health agency04D0681352
- Hunter's Pharmacy, IncCertificate of Waiver, Pharmacy04D1095104
- Lake Village ClinicCertificate of Waiver, Physician office04D0693694
- Lake Village Rehab-Care CTRCertificate of Waiver, Skilled nursing or nursing facility04D2009218
- Lake Village School Based ClinicCertificate of Waiver, School or student health service04D2126174
- Lakeside High School Based ClinicCertificate of Waiver, School or student health service04D2142136
- Pathway Recovery DevelopmentCertificate of Waiver, Comprehensive outpatient rehab facility04D2312252
- Southeast Rehabilitation HospitalCertificate of Waiver, Hospital04D1059020
- Southeast Rural Health ClinicCertificate of Waiver, Rural health clinic04D2183693
Related
Questions
What is the CLIA number for Chicot Memorial Medical Center in Lake Village?
04D0465387, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Chicot Memorial Medical Center hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D0465387 expire?
The CMS file lists April 7, 2027 as the certificate expiration date; the certificate took effect April 8, 2025.