CLIA lab

CLIA 04D1061469: River Valley Christian Clinic

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

CLIA number 04D1061469 belongs to River Valley Christian Clinic in Russellville, AR.

Certificate for Provider-Performed Microscopy Procedures, effective November 17, 2024, expires November 16, 2026.

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
November 17, 2024
Certificate expiration
November 16, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 17, 2006
Facility type
Other
Ownership (control type)
Religious affiliation
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
04D1061469
Lab name
River Valley Christian Clinic
Address
3001 E H Street Suite A, Russellville, AR 72812
Phone
(479) 229-2566

Annual test volume the lab reported

Waived tests
1,200

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 River Valley Christian Clinic in Russellville?

04D1061469, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does River Valley Christian Clinic hold?

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

When does CLIA 04D1061469 expire?

The CMS file lists November 16, 2026 as the certificate expiration date; the certificate took effect November 17, 2024.

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