CLIA lab
CLIA 04D0896371: Southern Paramedic Services, Inc
Wynne, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0896371 belongs to Southern Paramedic Services, Inc in Wynne, AR.
Certificate of Waiver, effective January 9, 2025, expires January 8, 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
- January 9, 2025
- Certificate expiration
- January 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 21, 1995
- Facility type
- Ambulance
- 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
- 04D0896371
- Lab name
- Southern Paramedic Services, Inc
- Address
- 903 North Falls Blvd, Wynne, AR 72396
- Phone
- (870) 238-2010
Annual test volume the lab reported
- Waived tests
- 175
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Baptist Urgent ClinicCertificate of Compliance, Physician office04D0467888
- Caldwell Discount DrugCertificate of Waiver, Pharmacy04D2019652
- Changes Behavioral Health LLCCertificate of Waiver, Other04D2269763
- Childers & Jackson Family Eye CareCertificate of Waiver, Other practitioner04D0467880
- Crestpark Wynne LLCCertificate of Waiver, Skilled nursing or nursing facility04D0718959
- Crossridge Community HospitalCertificate of Accreditation, Hospital04D0467885
- Harmony Health ClinicCertificate of Compliance, Physician office04D2258126
- Legacy Health and Wellness PLLCCertificate of Waiver, Physician office04D2177971
Related
Questions
What is the CLIA number for Southern Paramedic Services, Inc in Wynne?
04D0896371, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Paramedic Services, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0896371 expire?
The CMS file lists January 8, 2027 as the certificate expiration date; the certificate took effect January 9, 2025.