CLIA lab
CLIA 04D0979553: ST Vincent Heart Clinic Arkansas
Malvern, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0979553 belongs to ST Vincent Heart Clinic Arkansas in Malvern, AR.
Certificate of Waiver, effective October 25, 2026, expires October 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 Waiver
- Certificate effective
- October 25, 2026
- Certificate expiration
- October 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 25, 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
- 04D0979553
- Lab name
- ST Vincent Heart Clinic Arkansas
- Address
- 102 Schneider Drive Suite 107, Malvern, AR 72104
- Phone
- (501) 255-6000
- Fax
- (501) 255-6409
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arbor Oaks Healthcare and RehabCertificate of Waiver, Skilled nursing or nursing facility04D0642192
- Arcare 73Certificate of Waiver, Federally qualified health center04D2285292
- Baptist Health Family Clinic MalvernCertificate for Provider-Performed Microscopy Procedures, Physician office04D0466451
- Baptist Health Medical Center - Hot Spring CountyCertificate of Compliance, Hospital04D0466447
- Brick City Health and WellnessCertificate of Waiver, Other practitioner04D2296434
- Chi ST Vincent Medical Group Hot SpringsCertificate of Waiver, Physician office04D0896929
- Community Care RXCertificate of Waiver, Pharmacy04D2257492
- Healthy Connections Pinnacle - MalvernCertificate of Waiver, Federally qualified health center04D2268214
Related
Questions
What is the CLIA number for ST Vincent Heart Clinic Arkansas in Malvern?
04D0979553, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Vincent Heart Clinic Arkansas hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0979553 expire?
The CMS file lists October 24, 2028 as the certificate expiration date; the certificate took effect October 25, 2026.