CLIA lab
CLIA 04D1013222: Ar Internal Medicine Clinic PA
Little Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1013222 belongs to Ar Internal Medicine Clinic PA in Little Rock, AR.
Certificate of Waiver, effective June 4, 2025, expires June 3, 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
- June 4, 2025
- Certificate expiration
- June 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 4, 2003
- 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
- 04D1013222
- Lab name
- Ar Internal Medicine Clinic PA
- Address
- 1401 Kanis Park Dr Ste 200, Little Rock, AR 72205
- Phone
- (501) 537-4590
- Fax
- (501) 537-4591
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Ar Internal Medicine Clinic PA in Little Rock?
04D1013222, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ar Internal Medicine Clinic PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1013222 expire?
The CMS file lists June 3, 2027 as the certificate expiration date; the certificate took effect June 4, 2025.