CLIA lab
CLIA 04D0881080: Mercy Family Medicine Mansfield
Mansfield, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0881080 belongs to Mercy Family Medicine Mansfield in Mansfield, AR.
Certificate of Waiver, effective July 13, 2026, expires July 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
- July 13, 2026
- Certificate expiration
- July 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 4, 1994
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0881080
- Lab name
- Mercy Family Medicine Mansfield
- Address
- 100 North Walnut, Suite A, Mansfield, AR 72944
- Phone
- (479) 928-4404
- Fax
- (479) 928-4414
Annual test volume the lab reported
- Waived tests
- 2,704
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mansfield, AR
Related
Questions
What is the CLIA number for Mercy Family Medicine Mansfield in Mansfield?
04D0881080, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mercy Family Medicine Mansfield hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0881080 expire?
The CMS file lists July 12, 2028 as the certificate expiration date; the certificate took effect July 13, 2026.