CLIA lab
CLIA 04D0964179: Paul W Davis, MD, PA
White Hall, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0964179 belongs to Paul W Davis, MD, PA in White Hall, AR.
Certificate for Provider-Performed Microscopy Procedures, effective April 17, 2025, expires April 16, 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 17, 2025
- Certificate expiration
- April 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 19, 1999
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0964179
- Lab name
- Paul W Davis, MD, PA
- Address
- 7400 Dollarway Road Ste A, White Hall, AR 71602
- Phone
- (870) 879-6791
- Fax
- (870) 879-4476
Annual test volume the lab reported
- Waived tests
- 200
- Provider-performed microscopy tests
- 200
- Total
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in White Hall, AR
- Affinity HospiceCertificate of Waiver, Hospice04D2247946
- Affinity Palliative of ArkansasCertificate of Waiver, Other practitioner04D2331370
- Arcare 79Certificate of Waiver, Federally qualified health center04D2119440
- Arkansas Urology - White HallCertificate of Waiver, Physician office04D2272844
- Baptist Health Family Clinic White HallCertificate of Waiver, Physician office04D0906511
- Blossoms at White Hall, theCertificate of Waiver, Skilled nursing or nursing facility04D0994754
- Daily Dose Drugstore IncCertificate of Waiver, Pharmacy04D2246761
- Doctor's Orders Pharmacy 1Certificate of Waiver, Pharmacy04D2185049
- Dollarway Ambulatory Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center04D2265061
- Endocrinology of South ArkansasCertificate of Waiver, Physician office04D0997860
Related
Questions
What is the CLIA number for Paul W Davis, MD, PA in White Hall?
04D0964179, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Paul W Davis, MD, PA hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D0964179 expire?
The CMS file lists April 16, 2027 as the certificate expiration date; the certificate took effect April 17, 2025.