CLIA lab
CLIA 04D0691015: Magnolia Healthcare LLC
Magnolia, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0691015 belongs to Magnolia Healthcare LLC in Magnolia, AR.
Certificate of Waiver, effective August 28, 2025, expires August 27, 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
- August 28, 2025
- Certificate expiration
- August 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 26, 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
- 04D0691015
- Lab name
- Magnolia Healthcare LLC
- Address
- 2642 North Dudney Road, Magnolia, AR 71753
- Phone
- (870) 234-7000
- Fax
- (870) 234-7168
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- The Springs MagnoliaCMS Care Compare ratings for the facility at the same street address
Other labs in Magnolia, AR
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- Baptist Health Medical Center MagnoliaCertificate of Compliance, Hospital04D0465641
- Beautiful You Magnolia Medical Aesthetics LLCCertificate of Waiver, Other04D2322712
- Chester M Wynn MD PACertificate for Provider-Performed Microscopy Procedures, Physician office04D0880610
- Columbia County Ambulance ServiceCertificate of Waiver, Ambulance04D2198232
- Dynamic MedCertificate of Waiver, Other practitioner04D2292302
- Enhabit HospiceCertificate of Waiver, Hospice04D2119422
- Family Chiropractic CenterCertificate of Waiver, Physician office04D2155022
- Greenhouse Cottages of WentworthCertificate of Waiver, Skilled nursing or nursing facility04D2035914
- Hydroboost Drip and Wellness, LLCCertificate of Waiver, Other04D2343644
Related
Questions
What is the CLIA number for Magnolia Healthcare LLC in Magnolia?
04D0691015, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Magnolia Healthcare LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0691015 expire?
The CMS file lists August 27, 2027 as the certificate expiration date; the certificate took effect August 28, 2025.