CLIA lab
CLIA 04D0991904: Southern Medical Group
Magnolia, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0991904 belongs to Southern Medical Group in Magnolia, AR.
Certificate of Compliance, effective June 22, 2026, expires June 21, 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 Compliance
- Certificate effective
- June 22, 2026
- Certificate expiration
- June 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 2, 2001
- 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
- 04D0991904
- Lab name
- Southern Medical Group
- Address
- 211 East Stadium, Magnolia, AR 71753
- Phone
- (870) 234-5995
- Fax
- (870) 234-0278
Annual test volume the lab reported
- Waived tests
- 32,000
- Other nonwaived tests
- 155,300
- Total
- 187,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Magnolia, AR
- Baptist Health Family Clinic - MagnoliaCertificate of Waiver, Rural health clinic04D2163725
- Baptist Health Medical Center MagnoliaCertificate of Compliance, Hospital04D0465641
- Beautiful You Magnolia Medical Aesthetics LLCCertificate of Waiver, Other04D2322712
- Chester M Wynn MD PACertificate for Provider-Performed Microscopy Procedures, Physician office04D0880610
- Columbia County Ambulance ServiceCertificate of Waiver, Ambulance04D2198232
- Dynamic MedCertificate of Waiver, Other practitioner04D2292302
- Enhabit HospiceCertificate of Waiver, Hospice04D2119422
- Family Chiropractic CenterCertificate of Waiver, Physician office04D2155022
- Greenhouse Cottages of WentworthCertificate of Waiver, Skilled nursing or nursing facility04D2035914
- Hydroboost Drip and Wellness, LLCCertificate of Waiver, Other04D2343644
Related
Questions
What is the CLIA number for Southern Medical Group in Magnolia?
04D0991904, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Medical Group hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D0991904 expire?
The CMS file lists June 21, 2028 as the certificate expiration date; the certificate took effect June 22, 2026.