CLIA lab
CLIA 04D0467719: Great River Medical Center LLC
Blytheville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0467719 belongs to Great River Medical Center LLC in Blytheville, AR.
Certificate of Accreditation, effective January 3, 2025, expires January 2, 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 Accreditation
- Certificate effective
- January 3, 2025
- Certificate expiration
- January 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 1992
- Facility type
- Hospital
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- The Joint Commission
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0467719
- Lab name
- Great River Medical Center LLC
- Address
- 1520 North Division Street, Blytheville, AR 72315
- Phone
- (870) 838-7300
- Fax
- (870) 838-7483
Annual test volume the lab reported
- Waived tests
- 6,200
- Provider-performed microscopy tests
- 1
- Tests under accreditation
- 74,378
- Total
- 80,579
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Great River Medical CenterCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Blytheville, AR
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2289685
- Adult Medicine Clinic of BlythevilleCertificate of Waiver, Physician office04D1053557
- Air-Evac 113Certificate of Waiver, Ambulance04D2064713
- Allied Health Connect Associates LLCCertificate of Waiver, Public health laboratory04D2288387
- B M A BlythevilleCertificate of Waiver, End stage renal disease dialysis facility04D0942154
- Constance H Smith MD PACertificate of Waiver, Physician office04D2049073
- Delta Behavioral Health LLCCertificate of Waiver, Other04D2275300
- Doc Network - Nucor Yamato Stell Clinic, theCertificate of Waiver, Physician office04D2223423
- Everside Health Blytheville Ar ClinicCertificate of Waiver, Other04D2258358
- Family Medicine Assoc of BlythevilleCertificate of Compliance, Physician office04D0467710
Related
Questions
What is the CLIA number for Great River Medical Center LLC in Blytheville?
04D0467719, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Great River Medical Center LLC hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 04D0467719 expire?
The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.