CLIA lab
CLIA 04D0874275: Pleasant Manor Nursing Home
Ashdown, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0874275 belongs to Pleasant Manor Nursing Home in Ashdown, AR.
Certificate of Waiver, effective August 5, 2025, expires August 4, 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 5, 2025
- Certificate expiration
- August 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 5, 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
- 04D0874275
- Lab name
- Pleasant Manor Nursing Home
- Address
- 950 Homestead, Ashdown, AR 71822
- Phone
- (870) 898-5001
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Pleasant Manor Nursing & RehabCMS Care Compare ratings for the facility at the same street address
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- Little River Nursing & RehabCertificate of Waiver, Skilled nursing or nursing facility04D0465693
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- Quadmed Llc/Domtar ClinicCertificate of Waiver, Physician office04D2038315
- Rachel C King, MD PACertificate of Waiver, Physician office04D2066170
- Southern Grace Healthcare IncCertificate of Waiver, Other practitioner04D2240383
- Walmart Pharmacy 10-0133Certificate of Waiver, Pharmacy04D2128405
Related
Questions
What is the CLIA number for Pleasant Manor Nursing Home in Ashdown?
04D0874275, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pleasant Manor Nursing Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0874275 expire?
The CMS file lists August 4, 2027 as the certificate expiration date; the certificate took effect August 5, 2025.