CLIA lab
CLIA 04D0675164: Malvern Health and Rehab LLC
Malvern, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0675164 belongs to Malvern Health and Rehab LLC in Malvern, 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
- April 14, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Private
- 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
- 04D0675164
- Lab name
- Malvern Health and Rehab LLC
- Address
- 1820 West Moline Street, Malvern, AR 72104
- Phone
- (318) 443-8167
- Fax
- (318) 443-5557
Annual test volume the lab reported
- Waived tests
- 3,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Encore Healthcare and Rehabi of MalvernCMS Care Compare ratings for the facility at the same street address
Other labs in Malvern, AR
- Access Medical Clinic Arkansas LTC LLCCertificate of Waiver, Physician office04D2290500
- Appello Health and Wellness Medical ClinicCertificate of Waiver, Physician office04D2314349
- Arbor Oaks Healthcare and RehabCertificate of Waiver, Skilled nursing or nursing facility04D0642192
- Arcare 73Certificate of Waiver, Federally qualified health center04D2285292
- Baptist Health Family Clinic MalvernCertificate for Provider-Performed Microscopy Procedures, Physician office04D0466451
- Baptist Health Medical Center - Hot Spring CountyCertificate of Compliance, Hospital04D0466447
- Brick City Health and WellnessCertificate of Waiver, Other practitioner04D2296434
- Chi ST Vincent Medical Group Hot SpringsCertificate of Waiver, Physician office04D0896929
- Community Care RXCertificate of Waiver, Pharmacy04D2257492
- Healthy Connections Pinnacle - MalvernCertificate of Waiver, Federally qualified health center04D2268214
Related
Questions
What is the CLIA number for Malvern Health and Rehab LLC in Malvern?
04D0675164, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Malvern Health and Rehab LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0675164 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.