CLIA lab
CLIA 04D0677483: Randolph County Nursing Home
Pocahontas, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0677483 belongs to Randolph County Nursing Home in Pocahontas, 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
- March 3, 1994
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, county
- 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
- 04D0677483
- Lab name
- Randolph County Nursing Home
- Address
- 500 Camp Road, Pocahontas, AR 72455
- Phone
- (870) 892-5214
- Fax
- (870) 892-7389
Annual test volume the lab reported
- Waived tests
- 750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Randolph County Nursing HomeCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Randolph County Nursing Home in Pocahontas?
04D0677483, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Randolph County Nursing Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0677483 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.