CLIA lab
CLIA 04D1053093: Hull Dermatology, PA
Rogers, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1053093 belongs to Hull Dermatology, PA in Rogers, AR.
Certificate of Compliance, effective May 15, 2025, expires May 14, 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 Compliance
- Certificate effective
- May 15, 2025
- Certificate expiration
- May 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 13, 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
- 04D1053093
- Lab name
- Hull Dermatology, PA
- Address
- 597 S Horsebarn Rd, Rogers, AR 72758
- Phone
- (479) 254-9662
- Fax
- (479) 254-9652
Annual test volume the lab reported
- Other nonwaived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rogers, AR
- 65 Prime+ By MercyCertificate of Waiver, Physician office04D2310838
- Access Home HealthCertificate of Waiver, Home health agency04D0701531
- Advanced Dermatology and Skin Cancer CenterCertificate of Compliance, Physician office04D2287758
- Advanced Wound Therapy - Ar LLCCertificate of Waiver, Physician office04D2324551
- Arkansas Children's Northwest-ClinicCertificate of Waiver, Physician office04D2261955
- Ashley Health and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility04D1068896
- Blossoms at Rogers, theCertificate of Waiver, Skilled nursing or nursing facility04D0678828
- Boozman Hof Regional Eye ClinicCertificate of Waiver, Physician office04D0911561
- Boozman-Hof Eye Surgery & Laser CenterCertificate of Waiver, Ambulatory surgery center04D0911562
- CVS Pharmacy 10816Certificate of Waiver, Pharmacy04D2255925
Related
Questions
What is the CLIA number for Hull Dermatology, PA in Rogers?
04D1053093, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hull Dermatology, PA hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D1053093 expire?
The CMS file lists May 14, 2027 as the certificate expiration date; the certificate took effect May 15, 2025.