CLIA lab
CLIA 04D1002642: Arkansas Physical Medicine and Rehab
North Little Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1002642 belongs to Arkansas Physical Medicine and Rehab in North Little Rock, AR.
Certificate of Waiver, effective March 17, 2025, expires March 16, 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
- March 17, 2025
- Certificate expiration
- March 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 12, 2002
- 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
- 04D1002642
- Lab name
- Arkansas Physical Medicine and Rehab
- Address
- 636 West Broadway, North Little Rock, AR 72114
- Phone
- (501) 374-1153
- Fax
- (501) 374-6213
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Questions
What is the CLIA number for Arkansas Physical Medicine and Rehab in North Little Rock?
04D1002642, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arkansas Physical Medicine and Rehab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1002642 expire?
The CMS file lists March 16, 2027 as the certificate expiration date; the certificate took effect March 17, 2025.