CLIA lab
CLIA 04D0718959: Crestpark Wynne LLC
Wynne, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0718959 belongs to Crestpark Wynne LLC in Wynne, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
- January 6, 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
- 04D0718959
- Lab name
- Crestpark Wynne LLC
- Address
- PO Box 1127, Wynne, AR 72396
- Phone
- (870) 238-7941
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Wynne, AR
- Arcare 60Certificate of Waiver, Rural health clinic04D0968030
- Arcare 74Certificate of Waiver, Federally qualified health center04D2280698
- Baptist Urgent ClinicCertificate of Compliance, Physician office04D0467888
- Caldwell Discount DrugCertificate of Waiver, Pharmacy04D2019652
- Changes Behavioral Health LLCCertificate of Waiver, Other04D2269763
- Childers & Jackson Family Eye CareCertificate of Waiver, Other practitioner04D0467880
- Crossridge Community HospitalCertificate of Accreditation, Hospital04D0467885
- Harmony Health ClinicCertificate of Compliance, Physician office04D2258126
- Legacy Health and Wellness PLLCCertificate of Waiver, Physician office04D2177971
- River Ridge Rehabilitation and Care CenterCertificate of Waiver, Skilled nursing or nursing facility04D2009224
Related
Questions
What is the CLIA number for Crestpark Wynne LLC in Wynne?
04D0718959, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Crestpark Wynne LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0718959 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.