CLIA lab
CLIA 04D1028945: Legacy Hospice, LLC
Osceola, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1028945 belongs to Legacy Hospice, LLC in Osceola, AR.
Certificate of Waiver, effective August 5, 2026, expires August 4, 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 Waiver
- Certificate effective
- August 5, 2026
- Certificate expiration
- August 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 5, 2004
- Facility type
- Hospice
- 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
- 04D1028945
- Lab name
- Legacy Hospice, LLC
- Address
- 906 West Keiser Ave, Osceola, AR 72370
- Phone
- (870) 563-9995
- Fax
- (870) 563-8455
Annual test volume the lab reported
- Waived tests
- 100
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 Legacy Hospice, LLC in Osceola?
04D1028945, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Hospice, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1028945 expire?
The CMS file lists August 4, 2028 as the certificate expiration date; the certificate took effect August 5, 2026.