CLIA lab
CLIA 04D0948382: Blossoms at Dierks, the
Dierks, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0948382 belongs to Blossoms at Dierks, the in Dierks, AR.
Certificate of Waiver, effective July 9, 2026, expires July 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 of Waiver
- Certificate effective
- July 9, 2026
- Certificate expiration
- July 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 9, 1998
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- 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
- 04D0948382
- Lab name
- Blossoms at Dierks, the
- Address
- 402 South Arkansas Avenue, Dierks, AR 71833
- Phone
- (870) 286-3100
- Fax
- (870) 286-3030
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- The Blossoms at Dierks Rehab and Nursing CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Dierks, AR
Related
Questions
What is the CLIA number for Blossoms at Dierks, the in Dierks?
04D0948382, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blossoms at Dierks, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0948382 expire?
The CMS file lists July 8, 2028 as the certificate expiration date; the certificate took effect July 9, 2026.