CLIA lab
CLIA 04D1012185: Malvern Dialysis
Rockport, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1012185 belongs to Malvern Dialysis in Rockport, AR.
Certificate of Waiver, effective January 3, 2025, expires January 2, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 3, 2025
- Certificate expiration
- January 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 2, 2003
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D1012185
- Lab name
- Malvern Dialysis
- Address
- 1590 Tanner St, Rockport, AR 72104
- Phone
- (501) 332-3000
- Fax
- (501) 332-5858
Annual test volume the lab reported
- Waived tests
- 6,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Malvern DialysisCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Rockport, AR
Related
Questions
What is the CLIA number for Malvern Dialysis in Rockport?
04D1012185, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Malvern Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1012185 expire?
The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.