CLIA lab
CLIA 04D0919709: Booneville Human Development Center
Booneville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0919709 belongs to Booneville Human Development Center in Booneville, AR.
Certificate for Provider-Performed Microscopy Procedures, effective April 15, 2026, expires April 14, 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
- April 15, 2026
- Certificate expiration
- April 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 1996
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 04D0919709
- Lab name
- Booneville Human Development Center
- Address
- 87 Reed Road, Booneville, AR 72927
- Phone
- (479) 675-1443
- Fax
- (479) 675-1442
Annual test volume the lab reported
- Waived tests
- 150
- Provider-performed microscopy tests
- 150
- Total
- 300
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 Booneville Human Development Center in Booneville?
04D0919709, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Booneville Human Development Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D0919709 expire?
The CMS file lists April 14, 2028 as the certificate expiration date; the certificate took effect April 15, 2026.