CLIA lab

CLIA 04D0466251: Banister-Lieblong Clinic

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

CLIA number 04D0466251 belongs to Banister-Lieblong Clinic in Conway, AR.

Certificate of Waiver, effective March 29, 2026, expires March 28, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
March 29, 2026
Certificate expiration
March 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 28, 1992
Facility type
Rural health clinic
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
04D0466251
Lab name
Banister-Lieblong Clinic
Address
2425 Dave Ward Drive, Suite 401, Conway, AR 72034
Phone
(501) 329-3824
Fax
(501) 327-3225

Annual test volume the lab reported

Waived tests
100

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

Other labs in Conway, AR

Related

Questions

What is the CLIA number for Banister-Lieblong Clinic in Conway?

04D0466251, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Banister-Lieblong Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0466251 expire?

The CMS file lists March 28, 2028 as the certificate expiration date; the certificate took effect March 29, 2026.

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