CLIA lab
CLIA 04D0949890: Arkansas Dermatology Center
Russellville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0949890 belongs to Arkansas Dermatology Center in Russellville, AR.
Certificate for Provider-Performed Microscopy Procedures, effective April 12, 2025, expires April 11, 2027.
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 12, 2025
- Certificate expiration
- April 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 13, 1998
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 04D0949890
- Lab name
- Arkansas Dermatology Center
- Address
- 2210 West Main Street, Russellville, AR 72801
- Phone
- (479) 968-8940
- Fax
- (479) 968-8901
Annual test volume the lab reported
- Provider-performed microscopy tests
- 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 Occupational Health Clinic - RussellvilleCertificate of Waiver, Physician office04D2119425
- Arkansas Renal Group, PA - RussellvilleCertificate of Waiver, Physician office04D2112078
- Arkansas Tech University Health & Wellness CenterCertificate for Provider-Performed Microscopy Procedures, School or student health service04D0909870
- 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 Dermatology Center in Russellville?
04D0949890, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arkansas Dermatology Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D0949890 expire?
The CMS file lists April 11, 2027 as the certificate expiration date; the certificate took effect April 12, 2025.