CLIA lab
CLIA 04D0978617: Mid-South Renal Clinic
Marion, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0978617 belongs to Mid-South Renal Clinic in Marion, AR.
Certificate of Waiver, effective May 11, 2025, expires May 10, 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
- May 11, 2025
- Certificate expiration
- May 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 28, 2000
- Facility type
- Physician office
- 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
- 04D0978617
- Lab name
- Mid-South Renal Clinic
- Address
- 1120 Hwy 77 Ste #1, Marion, AR 72364
- Phone
- (870) 733-1177
- Fax
- (870) 739-3392
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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
- Mitchell Family Medicine, LLCCertificate of Compliance, Physician office04D2165967
- Pediatric Associates of West Memphis-MarionCertificate of Registration, Physician office04D0965138
- Phillips Family HealthcareCertificate of Waiver, Other practitioner04D2097681
Related
Questions
What is the CLIA number for Mid-South Renal Clinic in Marion?
04D0978617, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mid-South Renal Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0978617 expire?
The CMS file lists May 10, 2027 as the certificate expiration date; the certificate took effect May 11, 2025.