CLIA lab
CLIA 04D1049900: Malvern Family Medical Clinic
Malvern, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1049900 belongs to Malvern Family Medical Clinic in Malvern, AR.
Certificate of Waiver, effective January 20, 2026, expires January 19, 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
- January 20, 2026
- Certificate expiration
- January 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 20, 2006
- 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
- 04D1049900
- Lab name
- Malvern Family Medical Clinic
- Address
- 850 Henry Street, Malvern, AR 72104
- Phone
- (501) 337-1836
- Fax
- (501) 337-7935
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Appello Health and Wellness Medical ClinicCertificate of Waiver, Physician office04D2314349
- Arbor Oaks Healthcare and RehabCertificate of Waiver, Skilled nursing or nursing facility04D0642192
- Arcare 73Certificate of Waiver, Federally qualified health center04D2285292
- Baptist Health Family Clinic MalvernCertificate for Provider-Performed Microscopy Procedures, Physician office04D0466451
- Baptist Health Medical Center - Hot Spring CountyCertificate of Compliance, Hospital04D0466447
- Brick City Health and WellnessCertificate of Waiver, Other practitioner04D2296434
- Chi ST Vincent Medical Group Hot SpringsCertificate of Waiver, Physician office04D0896929
- Community Care RXCertificate of Waiver, Pharmacy04D2257492
- Healthy Connections Pinnacle - MalvernCertificate of Waiver, Federally qualified health center04D2268214
Related
Questions
What is the CLIA number for Malvern Family Medical Clinic in Malvern?
04D1049900, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Malvern Family Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1049900 expire?
The CMS file lists January 19, 2028 as the certificate expiration date; the certificate took effect January 20, 2026.