CLIA lab

CLIA 04D1042012: Mana Family Medicine Har-Ber

Springdale, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D1042012 belongs to Mana Family Medicine Har-Ber in Springdale, AR.

Certificate for Provider-Performed Microscopy Procedures, effective June 17, 2025, expires June 16, 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 for Provider-Performed Microscopy Procedures
Certificate effective
June 17, 2025
Certificate expiration
June 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 17, 2005
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
04D1042012
Lab name
Mana Family Medicine Har-Ber
Additional name
Medical Associates of Northwest Arkansas
Address
171 North Maestri Road, Suite 1, Springdale, AR 72762
Phone
(479) 361-1020
Fax
(479) 361-9118

Annual test volume the lab reported

Waived tests
365

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 Mana Family Medicine Har-Ber in Springdale?

04D1042012, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mana Family Medicine Har-Ber hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 04D1042012 expire?

The CMS file lists June 16, 2027 as the certificate expiration date; the certificate took effect June 17, 2025.

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