CLIA lab
CLIA 04D0965138: Pediatric Associates of West Memphis-Marion
Marion, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0965138 belongs to Pediatric Associates of West Memphis-Marion in Marion, AR.
Certificate of Registration, effective June 25, 2026, expires June 24, 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 Registration
- Certificate effective
- June 25, 2026
- Certificate expiration
- June 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 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
- 04D0965138
- Lab name
- Pediatric Associates of West Memphis-Marion
- Address
- 200 Pine Street, Marion, AR 72364
- Phone
- (870) 739-1190
- Fax
- (870) 732-4091
Annual test volume the lab reported
- Waived tests
- 500
- Other nonwaived tests
- 1,752
- Total
- 2,252
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Marion, AR
- A & D Health Solutions LLCCertificate of Waiver, Home health agency04D2322806
- Bmmg Desoto Women's Consultants - MarionCertificate of Waiver, Physician office04D2252369
- Community Family Medical, LLCCertificate of Waiver, Physician office04D2072884
- Dierksen HospiceCertificate of Waiver, Hospice04D2322457
- Elite Home HealthCertificate of Waiver, Home health agency04D0700451
- Marion Minor MedicalCertificate of Waiver, Physician office04D2071136
- Marion School District School Based Heath CenterCertificate of Waiver, School or student health service04D2148340
- Mid-South Renal ClinicCertificate of Waiver, Physician office04D0978617
- Mitchell Family Medicine, LLCCertificate of Compliance, Physician office04D2165967
- Phillips Family HealthcareCertificate of Waiver, Other practitioner04D2097681
Related
Questions
What is the CLIA number for Pediatric Associates of West Memphis-Marion in Marion?
04D0965138, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric Associates of West Memphis-Marion hold?
A Certificate of Registration, according to the CMS file.
When does CLIA 04D0965138 expire?
The CMS file lists June 24, 2028 as the certificate expiration date; the certificate took effect June 25, 2026.