CLIA lab
CLIA 04D0969518: Cass Civilian Conservation Job Corps
Ozark, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0969518 belongs to Cass Civilian Conservation Job Corps in Ozark, AR.
Certificate of Waiver, effective October 15, 2025, expires October 14, 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 of Waiver
- Certificate effective
- October 15, 2025
- Certificate expiration
- October 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 19, 2000
- Facility type
- Physician office
- Ownership (control type)
- Government, federal
- 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
- 04D0969518
- Lab name
- Cass Civilian Conservation Job Corps
- Address
- 21424 North Hwy 23, Ozark, AR 72949
- Phone
- (479) 667-0340
- Fax
- (479) 667-3853
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2272865
- Arcare 169Certificate of Waiver, Federally qualified health center04D2339409
- Duggar Family PracticeCertificate of Waiver, Physician office04D0905060
- Medi-Quik PharmacyCertificate of Waiver, Pharmacy04D2154379
- Mercy Clinic OzarkCertificate of Waiver, Physician office04D2030883
- Mercy Hospital OzarkCertificate of Accreditation, Hospital04D0642400
- Ozark SNF Operations LLCCertificate of Waiver, Skilled nursing or nursing facility04D0901318
- Ozark Wellness ClinicCertificate of Waiver, Other practitioner04D2093343
- Vhso - Ozark CbocCertificate of Accreditation, Community clinic04D2007792
- Village PharmacyCertificate of Waiver, Pharmacy04D0994755
Related
Questions
What is the CLIA number for Cass Civilian Conservation Job Corps in Ozark?
04D0969518, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cass Civilian Conservation Job Corps hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0969518 expire?
The CMS file lists October 14, 2027 as the certificate expiration date; the certificate took effect October 15, 2025.