CLIA lab
CLIA 04D1068870: Jacksonville Central Dialysis Center
Jacksonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1068870 belongs to Jacksonville Central Dialysis Center in Jacksonville, AR.
Certificate of Waiver, effective May 22, 2025, expires May 21, 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 Waiver
- Certificate effective
- May 22, 2025
- Certificate expiration
- May 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 22, 2007
- Facility type
- End stage renal disease dialysis 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
- 04D1068870
- Lab name
- Jacksonville Central Dialysis Center
- Address
- 400 T P White Drive, Jacksonville, AR 72076
- Phone
- (501) 241-1300
- Fax
- (501) 985-1344
Annual test volume the lab reported
- Waived tests
- 26,832
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Jacksonville Central Dialysis CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Jacksonville, AR
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- Arcare at Bobby G Lester ElementaryCertificate of Waiver, School or student health service04D2196159
- Arcare at Homer Adkins Pre-SchoolCertificate of Waiver, Federally qualified health center04D2214199
- Arcare at Jacksonville High SchoolCertificate of Waiver, School or student health service04D2196167
- Arcare at Jacksonville Middle SchoolCertificate of Waiver, School or student health service04D2196180
- Arcare at Murrell Taylor ElementaryCertificate of Waiver, Skilled nursing or nursing facility04D2196155
- Arcare at Pinewood ElementaryCertificate of Waiver, School or student health service04D2196163
- Baptist Health Urgent Care-Jacksonville,arCertificate of Waiver, Physician office04D2123529
Related
Questions
What is the CLIA number for Jacksonville Central Dialysis Center in Jacksonville?
04D1068870, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jacksonville Central Dialysis Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1068870 expire?
The CMS file lists May 21, 2027 as the certificate expiration date; the certificate took effect May 22, 2025.