CLIA lab
CLIA 04D0468990: Millard Henry Clinic
Russellville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0468990 belongs to Millard Henry Clinic in Russellville, AR.
Certificate of Compliance, effective May 18, 2026, expires May 17, 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 Compliance
- Certificate effective
- May 18, 2026
- Certificate expiration
- May 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0468990
- Lab name
- Millard Henry Clinic
- Additional name
- ST Mary's Physician Services LLC
- Address
- 101 Skyline Dr, Russellville, AR 72801
- Phone
- (479) 890-2434
- Fax
- (479) 890-3988
Annual test volume the lab reported
- Waived tests
- 2,008
- Provider-performed microscopy tests
- 5,428
- Other nonwaived tests
- 490,632
- Total
- 498,068
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
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
Related
Questions
What is the CLIA number for Millard Henry Clinic in Russellville?
04D0468990, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Millard Henry Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D0468990 expire?
The CMS file lists May 17, 2028 as the certificate expiration date; the certificate took effect May 18, 2026.