CLIA lab

CLIA 04D1092017: Conway Regional Wound Healing Center

Conway, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D1092017 belongs to Conway Regional Wound Healing Center in Conway, AR.

Certificate of Waiver, effective November 14, 2024, expires November 13, 2026.

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 14, 2024
Certificate expiration
November 13, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 14, 2008
Facility type
Other
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
5

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
04D1092017
Lab name
Conway Regional Wound Healing Center
Address
2125 Robinson Avenue, Conway, AR 72034
Phone
(501) 506-2747
Fax
(501) 450-2216

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.

Affiliated CLIA numbers

Other labs in Conway, AR

Related

Questions

What is the CLIA number for Conway Regional Wound Healing Center in Conway?

04D1092017, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Conway Regional Wound Healing Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D1092017 expire?

The CMS file lists November 13, 2026 as the certificate expiration date; the certificate took effect November 14, 2024.

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