CLIA lab
CLIA 04D0887089: Maple Healthcare
Hazen, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0887089 belongs to Maple Healthcare in Hazen, AR.
Certificate of Waiver, effective June 3, 2026, expires June 2, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 3, 2026
- Certificate expiration
- June 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 6, 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
- 04D0887089
- Lab name
- Maple Healthcare
- Additional name
- Hazen SNF Operator LLC
- Address
- 200 S Maple Street, Hazen, AR 72064
- Phone
- (870) 255-4323
- Fax
- (870) 255-4910
Annual test volume the lab reported
- Waived tests
- 960
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Maple HealthcareCMS Care Compare ratings for the facility at the same street address
Other labs in Hazen, AR
Related
Questions
What is the CLIA number for Maple Healthcare in Hazen?
04D0887089, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maple Healthcare hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0887089 expire?
The CMS file lists June 2, 2028 as the certificate expiration date; the certificate took effect June 3, 2026.