CLIA lab
CLIA 04D1073689: South Arkansas Surgery Center
El Dorado, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1073689 belongs to South Arkansas Surgery Center in El Dorado, AR.
Certificate of Waiver, effective September 13, 2025, expires September 12, 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
- September 13, 2025
- Certificate expiration
- September 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 2007
- Facility type
- Ambulatory surgery center
- 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
- 04D1073689
- Lab name
- South Arkansas Surgery Center
- Additional name
- The El Dorado Ar Multi-Specialty ASC, LLC
- Address
- 2704 Vine Street, El Dorado, AR 71730
- Phone
- (870) 864-6696
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in El Dorado, AR
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2166851
- Advanced Health & Rehab of Union CountyCertificate of Waiver, Skilled nursing or nursing facility04D0902768
- Albert Obiozo Pediatrics IncCertificate of Waiver, Physician office04D2149288
- Applegate Health Services, IncCertificate of Waiver, Other04D2131230
- Arkansas Heart Hospital Clinic - El DoradoCertificate of Waiver, Physician office04D2072494
- Arkansas Hospice IncCertificate of Waiver, Other04D2326709
- Arkansas Renal Group, PACertificate for Provider-Performed Microscopy Procedures, Physician office04D0919775
- Arkansas Urology-El DoradoCertificate for Provider-Performed Microscopy Procedures, Mobile lab04D1079834
- Baptist Health El Dorado Wound CenterCertificate of Waiver, Ancillary test site04D0949135
- Baptist Health Medical Center El DoradoCertificate of Registration, Hospital04D0465573
Related
Questions
What is the CLIA number for South Arkansas Surgery Center in El Dorado?
04D1073689, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does South Arkansas Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1073689 expire?
The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.