CLIA lab
CLIA 04D0673907: Oak Manor Nursing & Rehabilitation Center, Inc
Booneville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0673907 belongs to Oak Manor Nursing & Rehabilitation Center, Inc in Booneville, 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
- January 12, 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
- 04D0673907
- Lab name
- Oak Manor Nursing & Rehabilitation Center, Inc
- Address
- 150 Morton Avenue, Booneville, AR 72927
- Phone
- (479) 675-3763
- Fax
- (479) 675-2943
Annual test volume the lab reported
- Waived tests
- 5,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Oak Manor Nursing and Rehabilitation Center IncCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Oak Manor Nursing & Rehabilitation Center, Inc in Booneville?
04D0673907, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Oak Manor Nursing & Rehabilitation Center, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0673907 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.