CLIA lab

CLIA 04D1048903: Siloam Springs Clinic Co

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

CLIA number 04D1048903 belongs to Siloam Springs Clinic Co in Siloam Springs, AR.

Certificate of Waiver, effective December 14, 2025, expires December 13, 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
December 14, 2025
Certificate expiration
December 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 14, 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
04D1048903
Lab name
Siloam Springs Clinic Co
Address
3721 Hwy 412 East, Suite A/b, Siloam Springs, AR 72761
Phone
(479) 215-3078
Fax
(479) 549-3302

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Siloam Springs, AR

Related

Questions

What is the CLIA number for Siloam Springs Clinic Co in Siloam Springs?

04D1048903, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Siloam Springs Clinic Co hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D1048903 expire?

The CMS file lists December 13, 2027 as the certificate expiration date; the certificate took effect December 14, 2025.

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