CLIA lab
CLIA 04D0468992: Pathology Services Laboratory PA
Russellville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0468992 belongs to Pathology Services Laboratory PA in Russellville, AR.
Certificate of Compliance, effective May 19, 2025, expires May 18, 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 Compliance
- Certificate effective
- May 19, 2025
- Certificate expiration
- May 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Independent
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0468992
- Lab name
- Pathology Services Laboratory PA
- Address
- 1430 West C Street, Russellville, AR 72801
- Phone
- (479) 968-6781
- Fax
- (479) 968-3074
Annual test volume the lab reported
- Other nonwaived tests
- 34,747
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 Pathology Services Laboratory PA in Russellville?
04D0468992, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pathology Services Laboratory PA hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D0468992 expire?
The CMS file lists May 18, 2027 as the certificate expiration date; the certificate took effect May 19, 2025.