CLIA lab
CLIA 04D0942983: Chi ST Vincent LR Diag Clinic - Endoscopy CTR
Little Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0942983 belongs to Chi ST Vincent LR Diag Clinic - Endoscopy CTR in Little Rock, AR.
Certificate of Waiver, effective March 19, 2026, expires March 18, 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 Waiver
- Certificate effective
- March 19, 2026
- Certificate expiration
- March 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 19, 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
- 04D0942983
- Lab name
- Chi ST Vincent LR Diag Clinic - Endoscopy CTR
- Address
- 10001 Lile Drive, Little Rock, AR 72205
- Phone
- (501) 221-5852
- Fax
- (501) 223-4501
Annual test volume the lab reported
- Waived tests
- 1,200
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 Chi ST Vincent LR Diag Clinic - Endoscopy CTR in Little Rock?
04D0942983, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Chi ST Vincent LR Diag Clinic - Endoscopy CTR hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0942983 expire?
The CMS file lists March 18, 2028 as the certificate expiration date; the certificate took effect March 19, 2026.