CLIA lab
CLIA 04D1076997: Nabholz Wellness Center
Conway, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1076997 belongs to Nabholz Wellness Center in Conway, AR.
Certificate of Waiver, effective November 29, 2025, expires November 28, 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
- November 29, 2025
- Certificate expiration
- November 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 29, 2007
- Facility type
- Mobile lab
- Ownership (control type)
- Other
- 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
- 04D1076997
- Lab name
- Nabholz Wellness Center
- Address
- 612 Garland Street, Conway, AR 72032
- Phone
- (501) 505-5165
- Fax
- (501) 505-5265
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arcare 24Certificate of Waiver, Federally qualified health center04D2034996
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- Arkansas DermatologyCertificate of Compliance, Physician office04D2028520
- Arkansas Heart Hospital Clinic - ConwayCertificate of Waiver, Physician office04D2090186
- Arkansas Pediatrics of ConwayCertificate of Compliance, Physician office04D0913091
- Arkansas Urology - ConwayCertificate for Provider-Performed Microscopy Procedures, Physician office04D2140908
- Aveon Renal Care, LLCCertificate of Waiver, End stage renal disease dialysis facility04D2338583
Related
Questions
What is the CLIA number for Nabholz Wellness Center in Conway?
04D1076997, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Nabholz Wellness Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1076997 expire?
The CMS file lists November 28, 2027 as the certificate expiration date; the certificate took effect November 29, 2025.