CLIA lab
CLIA 04D1062386: Chi ST Vincent Primary Care Maumelle
Maumelle, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1062386 belongs to Chi ST Vincent Primary Care Maumelle in Maumelle, AR.
Certificate for Provider-Performed Microscopy Procedures, effective December 13, 2024, expires December 12, 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
- December 13, 2024
- Certificate expiration
- December 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 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
- 04D1062386
- Lab name
- Chi ST Vincent Primary Care Maumelle
- Address
- 1900 Club Manor Suite 105, Maumelle, AR 72113
- Phone
- (501) 851-8100
- Fax
- (501) 851-4712
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Maumelle, AR
- Achor Family PharmacyCertificate of Waiver, Pharmacy04D2182537
- Baptist Health Family ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office04D0466687
- Baptist Health Urgent Care-MaumelleCertificate of Waiver, Physician office04D2069565
- Healthcare ExpressCertificate of Waiver, Other04D2086145
- Kimberly Clark Corporation (Maumelle)Certificate of Waiver, Other04D2157549
- Kroger Pharmacy #606Certificate of Waiver, Pharmacy04D1021881
- Lakes at Maumelle Health & Rehab, theCertificate of Waiver, Skilled nursing or nursing facility04D1061529
- Maumelle Family MedicineCertificate of Waiver, Physician office04D2288072
- Maumelle Medical Arcare 32Certificate of Waiver, Federally qualified health center04D2174110
- Mira at MaumelleCertificate of Waiver, Assisted living facility04D2298853
Related
Questions
What is the CLIA number for Chi ST Vincent Primary Care Maumelle in Maumelle?
04D1062386, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Chi ST Vincent Primary Care Maumelle hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D1062386 expire?
The CMS file lists December 12, 2026 as the certificate expiration date; the certificate took effect December 13, 2024.