CLIA lab
CLIA 04D0881644: Johnson County Health & Rehab
Clarksville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0881644 belongs to Johnson County Health & Rehab in Clarksville, 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
- January 13, 1994
- 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
- 04D0881644
- Lab name
- Johnson County Health & Rehab
- Address
- 1451 E Poplar St, Clarksville, AR 72830
- Phone
- (479) 754-2052
- Fax
- (479) 754-5745
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Johnson County Health and Rehab, LLCCMS Care Compare ratings for the facility at the same street address
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- Clarksville Family PharmacyCertificate of Waiver, Pharmacy04D2169482
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Related
Questions
What is the CLIA number for Johnson County Health & Rehab in Clarksville?
04D0881644, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Johnson County Health & Rehab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0881644 expire?
The CMS file lists January 12, 2028 as the certificate expiration date; the certificate took effect January 13, 2026.