CLIA lab
CLIA 04D0880610: Chester M Wynn MD PA
Magnolia, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0880610 belongs to Chester M Wynn MD PA in Magnolia, AR.
Certificate for Provider-Performed Microscopy Procedures, effective December 16, 2025, expires December 15, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 16, 2025
- Certificate expiration
- December 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 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
- 04D0880610
- Lab name
- Chester M Wynn MD PA
- Address
- 118 West Stadium, Magnolia, AR 71753
- Phone
- (870) 234-6191
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Baptist Health Family Clinic - MagnoliaCertificate of Waiver, Rural health clinic04D2163725
- Baptist Health Medical Center MagnoliaCertificate of Compliance, Hospital04D0465641
- Beautiful You Magnolia Medical Aesthetics LLCCertificate of Waiver, Other04D2322712
- 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
- James Chambliss MD PLLC PACertificate for Provider-Performed Microscopy Procedures, Physician office04D1087008
Related
Questions
What is the CLIA number for Chester M Wynn MD PA in Magnolia?
04D0880610, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Chester M Wynn MD PA hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D0880610 expire?
The CMS file lists December 15, 2027 as the certificate expiration date; the certificate took effect December 16, 2025.