CLIA lab
CLIA 04D0939863: ST Vincent Family Clinic - Jacksonville
Jacksonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0939863 belongs to ST Vincent Family Clinic - Jacksonville in Jacksonville, AR.
Certificate of Compliance, effective August 20, 2026, expires August 19, 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 of Compliance
- Certificate effective
- August 20, 2026
- Certificate expiration
- August 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 2, 1998
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 04D0939863
- Lab name
- ST Vincent Family Clinic - Jacksonville
- Address
- 1110 W Main Street, Jacksonville, AR 72076
- Phone
- (501) 982-2108
- Fax
- (501) 982-4951
Annual test volume the lab reported
- Waived tests
- 6,485
- Other nonwaived tests
- 689
- Total
- 7,174
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jacksonville, AR
- Arcare 111Certificate of Waiver, Federally qualified health center04D2154028
- Arcare 97Certificate of Waiver, Federally qualified health center04D2322890
- Arcare at Bayou Meto ElementaryCertificate of Waiver, School or student health service04D2196183
- Arcare at Bobby G Lester ElementaryCertificate of Waiver, School or student health service04D2196159
- Arcare at Homer Adkins Pre-SchoolCertificate of Waiver, Federally qualified health center04D2214199
- Arcare at Jacksonville High SchoolCertificate of Waiver, School or student health service04D2196167
- Arcare at Jacksonville Middle SchoolCertificate of Waiver, School or student health service04D2196180
- Arcare at Murrell Taylor ElementaryCertificate of Waiver, Skilled nursing or nursing facility04D2196155
- Arcare at Pinewood ElementaryCertificate of Waiver, School or student health service04D2196163
- Baptist Health Urgent Care-Jacksonville,arCertificate of Waiver, Physician office04D2123529
Related
Questions
What is the CLIA number for ST Vincent Family Clinic - Jacksonville in Jacksonville?
04D0939863, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Vincent Family Clinic - Jacksonville hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D0939863 expire?
The CMS file lists August 19, 2028 as the certificate expiration date; the certificate took effect August 20, 2026.