CLIA lab
CLIA 04D0469039: Johnson Regional Medical Center
Clarksville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0469039 belongs to Johnson Regional Medical Center in Clarksville, AR.
Certificate of Compliance, effective April 14, 2025, expires April 13, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- April 14, 2025
- Certificate expiration
- April 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Hospital
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0469039
- Lab name
- Johnson Regional Medical Center
- Address
- 1100 East Poplar, Clarksville, AR 72830
- Phone
- (479) 754-5463
- Fax
- (479) 754-7058
Annual test volume the lab reported
- Waived tests
- 854
- Provider-performed microscopy tests
- 1
- Other nonwaived tests
- 118,273
- Total
- 119,128
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Clarksville, AR
- Access Medical Clinic Arkansas, LLCCertificate of Waiver, Physician office04D2281762
- Air-Evac 22Certificate of Waiver, Ambulance04D1089070
- 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 Medical Group, PACertificate of Compliance, Physician office04D0469031
Related
Questions
What is the CLIA number for Johnson Regional Medical Center in Clarksville?
04D0469039, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Johnson Regional Medical Center hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D0469039 expire?
The CMS file lists April 13, 2027 as the certificate expiration date; the certificate took effect April 14, 2025.