CLIA lab
CLIA 04D1030130: Southridge Village Nursing and Rehab
Heber Springs, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1030130 belongs to Southridge Village Nursing and Rehab in Heber Springs, AR.
Certificate of Waiver, effective August 31, 2026, expires August 30, 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 31, 2026
- Certificate expiration
- August 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 31, 2004
- Facility type
- Skilled nursing or nursing facility
- 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
- 04D1030130
- Lab name
- Southridge Village Nursing and Rehab
- Address
- 400 Southridge Parkway, Heber Springs, AR 72543
- Phone
- (501) 362-3185
- Fax
- (501) 362-2519
Annual test volume the lab reported
- Waived tests
- 29,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Southridge Village Nursing and RehabCMS Care Compare ratings for the facility at the same street address
Other labs in Heber Springs, AR
- Arcare 85Certificate of Waiver, Federally qualified health center04D1030147
- Arkansas Dermatology - Heber SpringsCertificate of Compliance, Physician office04D1075419
- Baptist Health Family Clinic - Heber SpringsCertificate of Waiver, Physician office04D0670164
- Baptist Health Heber Springs - Campus ClinicCertificate of Waiver, Rural health clinic04D2093764
- Baptist Health Home Health NetworkCertificate of Waiver, Home health agency04D1009358
- Baptist Health Medical Center Heber SpringsCertificate of Compliance, Hospital04D0049978
- Baptist Health Women's Spec Clinic Heber SpgsCertificate of Waiver, Physician office04D2272655
- Bivins Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office04D0923999
- Central Arkansas Radiation Therapy InstituteCertificate of Registration, Physician office04D2327642
- Chiropractic Arts ClinicCertificate of Waiver, Other practitioner04D2229484
Related
Questions
What is the CLIA number for Southridge Village Nursing and Rehab in Heber Springs?
04D1030130, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southridge Village Nursing and Rehab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1030130 expire?
The CMS file lists August 30, 2028 as the certificate expiration date; the certificate took effect August 31, 2026.