CLIA lab
CLIA 04D0909870: Arkansas Tech University Health & Wellness Center
Russellville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0909870 belongs to Arkansas Tech University Health & Wellness Center in Russellville, AR.
Certificate for Provider-Performed Microscopy Procedures, effective May 9, 2026, expires May 8, 2028.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 9, 2026
- Certificate expiration
- May 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 19, 1995
- Facility type
- School or student health service
- Ownership (control type)
- Government, state
- 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
- 04D0909870
- Lab name
- Arkansas Tech University Health & Wellness Center
- Address
- 1605 Coliseum Dr, Suite 119, Russellville, AR 72801
- Phone
- (479) 968-0329
- Fax
- (479) 967-6610
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 100
- Total
- 1,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Russellville, AR
- Ar Heart Hospital Rural Health Svcs - RussellvilleCertificate of Waiver, Physician office04D1096786
- Arcare 92Certificate of Waiver, Federally qualified health center04D2308343
- Arcare 98Certificate of Waiver, Federally qualified health center04D2329669
- Arkansas DermatologyCertificate of Compliance, Physician office04D2178013
- Arkansas Dermatology CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D0949890
- Arkansas Occupational Health Clinic - RussellvilleCertificate of Waiver, Physician office04D2119425
- Arkansas Renal Group, PA - RussellvilleCertificate of Waiver, Physician office04D2112078
- Arkansas Urology/RussellvilleCertificate for Provider-Performed Microscopy Procedures, Physician office04D1100397
- BPC Plasma, IncCertificate of Accreditation, Independent04D2162256
- Baptist Health Family Clinic RussellvilleCertificate of Waiver, Physician office04D2140355
Related
Questions
What is the CLIA number for Arkansas Tech University Health & Wellness Center in Russellville?
04D0909870, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arkansas Tech University Health & Wellness Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D0909870 expire?
The CMS file lists May 8, 2028 as the certificate expiration date; the certificate took effect May 9, 2026.