CLIA lab
CLIA 04D1080378: Premise Health of Arkansas Medical, PA
Camden, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1080378 belongs to Premise Health of Arkansas Medical, PA in Camden, AR.
Certificate of Waiver, effective February 21, 2026, expires February 20, 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 Waiver
- Certificate effective
- February 21, 2026
- Certificate expiration
- February 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 21, 2008
- 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
- 04D1080378
- Lab name
- Premise Health of Arkansas Medical, PA
- Address
- 205 Walton Road, Camden, AR 71701
- Phone
- (870) 574-5700
- Fax
- (870) 574-4075
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Camden, AR
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Public health laboratory04D2276641
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2276862
- Baptist Health Ouachita Valley Family ClinicCertificate of Waiver, Physician office04D0465492
- Camden Family PracticeCertificate of Registration, Federally qualified health center04D2342011
- Camden Premier Health Services, LLCCertificate of Waiver, Other practitioner04D2271947
- Centerwell Home HealthCertificate of Waiver, Home health agency04D2116865
- First Choice Family CareCertificate for Provider-Performed Microscopy Procedures, Physician office04D2185852
- Genesis Cancer and Blood InstituteCertificate of Waiver, Physician office04D2193410
- Lewis Clinic, theCertificate of Waiver, Physician office04D2194593
- Ouachita County Medical CenterCertificate of Compliance, Hospital04D0465498
Related
Questions
What is the CLIA number for Premise Health of Arkansas Medical, PA in Camden?
04D1080378, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Arkansas Medical, PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1080378 expire?
The CMS file lists February 20, 2028 as the certificate expiration date; the certificate took effect February 21, 2026.