CLIA lab
CLIA 04D0891058: Mercy Clinic Family Medicine - Green Forest
Green Forest, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0891058 belongs to Mercy Clinic Family Medicine - Green Forest in Green Forest, AR.
Certificate of Waiver, effective December 18, 2025, expires December 17, 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 of Waiver
- Certificate effective
- December 18, 2025
- Certificate expiration
- December 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 30, 1994
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 04D0891058
- Lab name
- Mercy Clinic Family Medicine - Green Forest
- Address
- 100 Medical Circle, Green Forest, AR 72638
- Phone
- (870) 438-5216
- Fax
- (870) 438-5768
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Green Forest, AR
- Boston Mountain Rural Health Clinic - Green ForestCertificate of Waiver, Federally qualified health center04D1107657
- Bright Blue at Marathon Health LLCCertificate of Waiver, Other04D2214917
- Harps Pharmacy #103Certificate of Waiver, Pharmacy04D2153729
- Tyson Poultry, Inc - Green Forest, ArCertificate of Waiver, Other04D2162651
Related
Questions
What is the CLIA number for Mercy Clinic Family Medicine - Green Forest in Green Forest?
04D0891058, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mercy Clinic Family Medicine - Green Forest hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0891058 expire?
The CMS file lists December 17, 2027 as the certificate expiration date; the certificate took effect December 18, 2025.