CLIA lab
CLIA 04D0469327: Mulberry Family Clinic
Mulberry, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0469327 belongs to Mulberry Family Clinic in Mulberry, AR.
Certificate for Provider-Performed Microscopy Procedures, effective September 24, 2025, expires September 23, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 24, 2025
- Certificate expiration
- September 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 12, 1993
- Facility type
- Federally qualified health center
- 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
- 04D0469327
- Lab name
- Mulberry Family Clinic
- Additional name
- River Valley Primary Care Services Inc.
- Address
- 421 North Main Street, Mulberry, AR 72947
- Phone
- (479) 997-1484
- Fax
- (479) 997-1494
Annual test volume the lab reported
- Waived tests
- 3,000
- Provider-performed microscopy tests
- 50
- Total
- 3,050
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Mulberry Family Clinic in Mulberry?
04D0469327, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mulberry Family Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D0469327 expire?
The CMS file lists September 23, 2027 as the certificate expiration date; the certificate took effect September 24, 2025.