CLIA lab

CLIA 04D0671487: Blossoms at Prescott Rehab and Nursing, the

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

CLIA number 04D0671487 belongs to Blossoms at Prescott Rehab and Nursing, the in Prescott, AR.

Certificate of Waiver, effective May 22, 2025, expires May 21, 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 Waiver
Certificate effective
May 22, 2025
Certificate expiration
May 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 14, 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
04D0671487
Lab name
Blossoms at Prescott Rehab and Nursing, the
Address
700 Manor Drive, Prescott, AR 71857
Phone
(870) 455-1086
Fax
(870) 887-6690

Annual test volume the lab reported

Waived tests
150

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

Other labs in Prescott, AR

Related

Questions

What is the CLIA number for Blossoms at Prescott Rehab and Nursing, the in Prescott?

04D0671487, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Blossoms at Prescott Rehab and Nursing, the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0671487 expire?

The CMS file lists May 21, 2027 as the certificate expiration date; the certificate took effect May 22, 2025.

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