CLIA lab
CLIA 04D1073725: Western Yell County Medical Clinic
Havana, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1073725 belongs to Western Yell County Medical Clinic in Havana, AR.
Certificate of Compliance, effective January 6, 2026, expires January 5, 2028.
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 Compliance
- Certificate effective
- January 6, 2026
- Certificate expiration
- January 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 14, 2007
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D1073725
- Lab name
- Western Yell County Medical Clinic
- Address
- 310 West Broadway Street, Havana, AR 72842
- Phone
- (479) 476-2827
- Fax
- (479) 476-2580
Annual test volume the lab reported
- Waived tests
- 150
- Provider-performed microscopy tests
- 100
- Other nonwaived tests
- 700
- Total
- 950
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Western Yell County Medical Clinic in Havana?
04D1073725, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Western Yell County Medical Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D1073725 expire?
The CMS file lists January 5, 2028 as the certificate expiration date; the certificate took effect January 6, 2026.