CLIA lab
CLIA 04D0903055: Scott R Nichols MD PA
Pine Bluff, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0903055 belongs to Scott R Nichols MD PA in Pine Bluff, AR.
Certificate for Provider-Performed Microscopy Procedures, effective October 14, 2024, expiration date October 13, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- October 14, 2024
- Certificate expiration
- October 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 11, 1995
- Facility type
- Community 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
- 04D0903055
- Lab name
- Scott R Nichols MD PA
- Address
- 3801 Camden Rd #22, Pine Bluff, AR 71603
- Phone
- (870) 879-3517
- Fax
- (870) 879-6490
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pine Bluff, AR
- Ach Pine Bluff ClinicCertificate of Waiver, Physician office04D0465263
- Arcare 140Certificate of Waiver, Federally qualified health center04D2349439
- Arcare 155Certificate of Waiver, Federally qualified health center04D2325162
- Archwell Health - Pine BluffCertificate of Waiver, Physician office04D2315883
- Arkansas Dept of Correction Health SVCCertificate of Waiver, Other02D0682823
- Autonomy Healthcare ProvidersCertificate of Waiver, Physician office04D2271274
- Buckhanan RecoveryCertificate of Waiver, Other04D2299468
- Cavhs Pine BluffCertificate of Accreditation, Community clinic04D2185025
- Central Arkansas Radiation Therapy InstituteCertificate of Accreditation, Physician office04D2194416
- Children's Advocacy Center of Southeast ArkansasCertificate of Waiver, Other04D2275776
Related
Questions
What is the CLIA number for Scott R Nichols MD PA in Pine Bluff?
04D0903055, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scott R Nichols MD PA hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D0903055 expire?
The CMS file lists October 13, 2026 as the certificate expiration date; the certificate took effect October 14, 2024.