CLIA lab

CLIA 04D0642052: Physicians Day Surgery Center

Pine Bluff, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D0642052 belongs to Physicians Day Surgery Center in Pine Bluff, AR.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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 Waiver
Certificate effective
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 31, 1992
Facility type
Ambulatory surgery center
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
04D0642052
Lab name
Physicians Day Surgery Center
Address
3805 W 28th St, Pine Bluff, AR 71603
Phone
(870) 536-4100

Annual test volume the lab reported

Waived tests
226

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Physicians Day Surgery Center in Pine Bluff?

04D0642052, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Physicians Day Surgery Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0642052 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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