CLIA lab
CLIA 04D0951056: Ouachita Family Practice LLC
Mena, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0951056 belongs to Ouachita Family Practice LLC in Mena, AR.
Certificate for Provider-Performed Microscopy Procedures, effective September 11, 2026, expires September 10, 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
- September 11, 2026
- Certificate expiration
- September 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 1998
- Facility type
- Other practitioner
- 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
- 04D0951056
- Lab name
- Ouachita Family Practice LLC
- Address
- 1210 Dequeen St, Mena, AR 71953
- Phone
- (479) 394-5068
- Fax
- (479) 394-5626
Annual test volume the lab reported
- Waived tests
- 200
- Provider-performed microscopy tests
- 75
- Total
- 275
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arkansas Pain TherapyCertificate of Registration, Physician office04D2321450
- Buschman Internal MedicineCertificate of Waiver, Physician office04D2350919
- Cavhs Mena CbocCertificate of Accreditation, Community clinic04D2142428
- Elite Home HealthCertificate of Waiver, Home health agency04D0699025
- Elite HospiceCertificate of Waiver, Hospice04D1089809
- Ellison Family PharmacyCertificate of Waiver, Pharmacy04D2285951
- Freedom Pharmacy LLCCertificate of Waiver, Pharmacy04D2182819
Related
Questions
What is the CLIA number for Ouachita Family Practice LLC in Mena?
04D0951056, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ouachita Family Practice LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D0951056 expire?
The CMS file lists September 10, 2028 as the certificate expiration date; the certificate took effect September 11, 2026.