CLIA lab

CLIA 04D0698656: Jefferson Regional Healthworks

Pine Bluff, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D0698656 belongs to Jefferson Regional Healthworks in Pine Bluff, AR.

Certificate of Waiver, effective December 1, 2025, expires November 30, 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
December 1, 2025
Certificate expiration
November 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Industrial
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
04D0698656
Lab name
Jefferson Regional Healthworks
Address
4201 S Mulberry Street, Pine Bluff, AR 71603
Phone
(870) 536-6600
Fax
(870) 541-8623

Annual test volume the lab reported

Waived tests
1,800

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Jefferson Regional Healthworks in Pine Bluff?

04D0698656, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jefferson Regional Healthworks hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0698656 expire?

The CMS file lists November 30, 2027 as the certificate expiration date; the certificate took effect December 1, 2025.

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