CLIA lab

CLIA 04D0642284: Jonesboro Wellness LLC

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

CLIA number 04D0642284 belongs to Jonesboro Wellness LLC in Jonesboro, 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
November 18, 1993
Facility type
Skilled nursing or nursing facility
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
04D0642284
Lab name
Jonesboro Wellness LLC
Address
1705 Latourette Drive, Jonesboro, AR 72404
Phone
(870) 935-7550
Fax
(870) 931-0093

Annual test volume the lab reported

Waived tests
3,600

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

Care facility at this address

Other labs in Jonesboro, AR

Related

Questions

What is the CLIA number for Jonesboro Wellness LLC in Jonesboro?

04D0642284, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jonesboro Wellness LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0642284 expire?

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

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