CLIA lab

CLIA 04D0466009: Degray Dialysis

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

CLIA number 04D0466009 belongs to Degray Dialysis in Arkadelphia, AR.

Certificate of Waiver, effective June 8, 2025, expires June 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 Waiver
Certificate effective
June 8, 2025
Certificate expiration
June 7, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 9, 1993
Facility type
End stage renal disease dialysis facility
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
04D0466009
Lab name
Degray Dialysis
Address
312 Professional Park Drive, Suite H, Arkadelphia, AR 71923
Phone
(870) 246-3021
Fax
(870) 245-3766

Annual test volume the lab reported

Waived tests
6,300

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

Care facility at this address

Other labs in Arkadelphia, AR

Related

Questions

What is the CLIA number for Degray Dialysis in Arkadelphia?

04D0466009, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Degray Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0466009 expire?

The CMS file lists June 7, 2027 as the certificate expiration date; the certificate took effect June 8, 2025.

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