CLIA lab
CLIA 04D1061529: Lakes at Maumelle Health & Rehab, the
Maumelle, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1061529 belongs to Lakes at Maumelle Health & Rehab, the in Maumelle, AR.
Certificate of Waiver, effective November 20, 2024, expires November 19, 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 of Waiver
- Certificate effective
- November 20, 2024
- Certificate expiration
- November 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 20, 2006
- Facility type
- Skilled nursing or nursing facility
- 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
- 04D1061529
- Lab name
- Lakes at Maumelle Health & Rehab, the
- Address
- 103 Alexandria Drive, Maumelle, AR 72113
- Phone
- (501) 734-1400
- Fax
- (501) 734-1411
Annual test volume the lab reported
- Waived tests
- 20,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- The Lakes at Maumelle Health and RehabilitationCMS Care Compare ratings for the facility at the same street address
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- Healthcare ExpressCertificate of Waiver, Other04D2086145
- Kimberly Clark Corporation (Maumelle)Certificate of Waiver, Other04D2157549
- Kroger Pharmacy #606Certificate of Waiver, Pharmacy04D1021881
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- Mira at MaumelleCertificate of Waiver, Assisted living facility04D2298853
Related
Questions
What is the CLIA number for Lakes at Maumelle Health & Rehab, the in Maumelle?
04D1061529, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakes at Maumelle Health & Rehab, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1061529 expire?
The CMS file lists November 19, 2026 as the certificate expiration date; the certificate took effect November 20, 2024.