CLIA lab
CLIA 04D0469031: Clarksville Medical Group, PA
Clarksville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0469031 belongs to Clarksville Medical Group, PA in Clarksville, AR.
Certificate of Compliance, effective December 10, 2025, expires December 9, 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
- December 10, 2025
- Certificate expiration
- December 9, 2027
- 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
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0469031
- Lab name
- Clarksville Medical Group, PA
- Address
- 601 W Mckennon St, Clarksville, AR 72830
- Phone
- (479) 754-8384
- Fax
- (479) 754-8777
Annual test volume the lab reported
- Waived tests
- 850
- Other nonwaived tests
- 10,300
- Total
- 11,150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Angela R Styles MD Dermatology & DermatopathologyCertificate of Compliance, Physician office04D0929297
- Archway Chiropractic ClinicCertificate of Waiver, Other practitioner04D2132489
- Arkansas Dermatology CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D2280333
- Center Convenient Care, PLCCertificate of Waiver, Other practitioner04D2234361
- Clarksville Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center04D2163797
- Clarksville Family Medical CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D0970176
- Clarksville Family PharmacyCertificate of Waiver, Pharmacy04D2169482
- Clarksville Women's CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D2063541
Related
Questions
What is the CLIA number for Clarksville Medical Group, PA in Clarksville?
04D0469031, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clarksville Medical Group, PA hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D0469031 expire?
The CMS file lists December 9, 2027 as the certificate expiration date; the certificate took effect December 10, 2025.