CLIA lab

CLIA 04D0900676: Mayflower Family Medical

Mayflower, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D0900676 belongs to Mayflower Family Medical in Mayflower, AR.

Certificate of Waiver, effective May 16, 2025, expires May 15, 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
May 16, 2025
Certificate expiration
May 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 3, 1995
Facility type
Rural health clinic
Ownership (control type)
Private
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
04D0900676
Lab name
Mayflower Family Medical
Address
606 Highway 365, Mayflower, AR 72106
Phone
(501) 470-7413
Fax
(501) 470-7415

Annual test volume the lab reported

Waived tests
2,400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Mayflower, AR

Related

Questions

What is the CLIA number for Mayflower Family Medical in Mayflower?

04D0900676, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mayflower Family Medical hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0900676 expire?

The CMS file lists May 15, 2027 as the certificate expiration date; the certificate took effect May 16, 2025.

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