CLIA lab
CLIA 04D1073728: Paragould Pediatrics, PLLC
Paragould, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1073728 belongs to Paragould Pediatrics, PLLC in Paragould, AR.
Certificate of Waiver, effective September 14, 2025, expires September 13, 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 14, 2025
- Certificate expiration
- September 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 14, 2007
- 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
- 04D1073728
- Lab name
- Paragould Pediatrics, PLLC
- Address
- 4000 Linwood Drive, Suite H, Paragould, AR 72450
- Phone
- (870) 236-7337
- Fax
- (870) 236-7332
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Paragould, AR
- 1st Choice HealthcareCertificate of Accreditation, Federally qualified health center04D2103039
- Alt Total WellnessCertificate of Waiver, Other practitioner04D2342387
- Ammc Fonticiella Medical ClinicCertificate of Waiver, Physician office04D2279986
- Ammc Medical Office Building LaboratoryCertificate of Accreditation, Physician office04D2168243
- Ammc Women's ClinicCertificate of Waiver, Physician office04D2323892
- Arkansas Methodist Medical CenterCertificate of Accreditation, Hospital04D0642285
- Arkansas Methodist Medical CenterCertificate of Accreditation, Ancillary test site04D0642295
- Arkansas Methodist Medical Center Family PracticeCertificate of Waiver, Physician office04D2250279
- Carriage Hill Family Care PLCCertificate for Provider-Performed Microscopy Procedures, Physician office04D2250926
- Centerwell Home HealthCertificate of Waiver, Home health agency04D2050948
Related
Questions
What is the CLIA number for Paragould Pediatrics, PLLC in Paragould?
04D1073728, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Paragould Pediatrics, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1073728 expire?
The CMS file lists September 13, 2027 as the certificate expiration date; the certificate took effect September 14, 2025.