CLIA lab
CLIA 04D1027329: Millcreek of Arkansas
Fordyce, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1027329 belongs to Millcreek of Arkansas in Fordyce, AR.
Certificate of Waiver, effective June 28, 2026, expires June 27, 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
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
- June 28, 2026
- Certificate expiration
- June 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 28, 2004
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 04D1027329
- Lab name
- Millcreek of Arkansas
- Additional name
- Habilitation Centers, Inc
- Address
- 1810 Industrial Drive, Fordyce, AR 71742
- Phone
- (870) 352-8203
- Fax
- (870) 352-5311
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fordyce, AR
- Dallas County Medical CenterCertificate of Compliance, Hospital04D0689262
- Dcmc Family ClinicCertificate of Waiver, Rural health clinic04D1066528
- Elite Home HealthCertificate of Waiver, Home health agency04D0698540
- Millcreek of Arkansas ICF MRCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities04D2010339
- Nutt-Walley Clinic of Dallas CountyCertificate of Waiver, Rural health clinic04D1089243
- ST John's Place of Arkansas LLCCertificate of Waiver, Skilled nursing or nursing facility04D1066504
- Walmart Pharmacy 10-0339Certificate of Waiver, Pharmacy04D2139457
Related
Questions
What is the CLIA number for Millcreek of Arkansas in Fordyce?
04D1027329, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Millcreek of Arkansas hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1027329 expire?
The CMS file lists June 27, 2028 as the certificate expiration date; the certificate took effect June 28, 2026.