CLIA lab
CLIA 04D0468964: ST Mary's Regional Medical Center
Russellville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0468964 belongs to ST Mary's Regional Medical Center in Russellville, AR.
Certificate of Accreditation, effective August 17, 2025, expires August 16, 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
- August 17, 2025
- Certificate expiration
- August 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 7, 1993
- Facility type
- Hospital
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- The Joint Commission
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0468964
- Lab name
- ST Mary's Regional Medical Center
- Additional name
- Russellville Holdings LLC
- Address
- 1808 W Main Street, Russellville, AR 72801
- Phone
- (479) 964-9156
- Fax
- (479) 968-4821
Annual test volume the lab reported
- Waived tests
- 26,753
- Tests under accreditation
- 603,097
- Total
- 629,850
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- ST Marys Regional Medical CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Russellville, AR
- Ar Heart Hospital Rural Health Svcs - RussellvilleCertificate of Waiver, Physician office04D1096786
- Arcare 92Certificate of Waiver, Federally qualified health center04D2308343
- Arcare 98Certificate of Waiver, Federally qualified health center04D2329669
- Arkansas DermatologyCertificate of Compliance, Physician office04D2178013
- Arkansas Dermatology CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D0949890
- Arkansas Occupational Health Clinic - RussellvilleCertificate of Waiver, Physician office04D2119425
- Arkansas Renal Group, PA - RussellvilleCertificate of Waiver, Physician office04D2112078
- Arkansas Tech University Health & Wellness CenterCertificate for Provider-Performed Microscopy Procedures, School or student health service04D0909870
- Arkansas Urology/RussellvilleCertificate for Provider-Performed Microscopy Procedures, Physician office04D1100397
- BPC Plasma, IncCertificate of Accreditation, Independent04D2162256
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Questions
What is the CLIA number for ST Mary's Regional Medical Center in Russellville?
04D0468964, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Mary's Regional Medical Center hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 04D0468964 expire?
The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.