CLIA lab

CLIA 04D0909408: Pathfinder Inc

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

CLIA number 04D0909408 belongs to Pathfinder Inc in Jacksonville, AR.

Certificate of Waiver, effective December 5, 2025, expires December 4, 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 5, 2025
Certificate expiration
December 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 5, 1995
Facility type
Intermediate care facility for individuals with intellectual disabilities
Ownership (control type)
Other
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
04D0909408
Lab name
Pathfinder Inc
Address
415 South Hospital Drive, Jacksonville, AR 72078
Phone
(501) 982-0528
Fax
(501) 985-1462

Annual test volume the lab reported

Waived tests
52

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

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Related

Questions

What is the CLIA number for Pathfinder Inc in Jacksonville?

04D0909408, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pathfinder Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0909408 expire?

The CMS file lists December 4, 2027 as the certificate expiration date; the certificate took effect December 5, 2025.

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