CLIA lab
CLIA 04D0899252: Millard Henry Clinic
Dover, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0899252 belongs to Millard Henry Clinic in Dover, AR.
Certificate of Compliance, effective December 29, 2024, expires December 28, 2026.
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 Compliance
- Certificate effective
- December 29, 2024
- Certificate expiration
- December 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 24, 1995
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0899252
- Lab name
- Millard Henry Clinic
- Additional name
- ST Mary's Physician Services
- Address
- 8970 Market Street, Dover, AR 72837
- Phone
- (479) 331-3880
- Fax
- (479) 331-1499
Annual test volume the lab reported
- Waived tests
- 609
- Provider-performed microscopy tests
- 665
- Other nonwaived tests
- 18,758
- Total
- 20,032
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Millard Henry Clinic in Dover?
04D0899252, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Millard Henry Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D0899252 expire?
The CMS file lists December 28, 2026 as the certificate expiration date; the certificate took effect December 29, 2024.