CLIA lab

CLIA 04D0875868: Apache Drive Children's Clinic

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

CLIA number 04D0875868 belongs to Apache Drive Children's Clinic in Jonesboro, AR.

Certificate of Waiver, effective January 13, 2026, expires January 12, 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
January 13, 2026
Certificate expiration
January 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 2, 1993
Facility type
Physician office
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
04D0875868
Lab name
Apache Drive Children's Clinic
Address
3203 Methodist Drive, Jonesboro, AR 72401
Phone
(870) 935-1800

Other labs in Jonesboro, AR

Related

Questions

What is the CLIA number for Apache Drive Children's Clinic in Jonesboro?

04D0875868, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Apache Drive Children's Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0875868 expire?

The CMS file lists January 12, 2028 as the certificate expiration date; the certificate took effect January 13, 2026.

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