CLIA lab
CLIA 04D0678828: Blossoms at Rogers, the
Rogers, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0678828 belongs to Blossoms at Rogers, the in Rogers, 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
- August 14, 1995
- 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
- 04D0678828
- Lab name
- Blossoms at Rogers, the
- Additional name
- South Dixieland Road Operating
- Address
- 1513 South Dixieland Road, Rogers, AR 72758
- Phone
- (479) 636-5841
- Fax
- (479) 621-8345
Annual test volume the lab reported
- Waived tests
- 6,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- The Blossoms at Rogers Rehab & Nursing CenterCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Blossoms at Rogers, the in Rogers?
04D0678828, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blossoms at Rogers, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0678828 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.