CLIA lab
CLIA 04D1097100: Primecare Medical Clinic-Conway
Conway, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1097100 belongs to Primecare Medical Clinic-Conway in Conway, AR.
Certificate for Provider-Performed Microscopy Procedures, effective April 11, 2026, expires April 10, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- April 11, 2026
- Certificate expiration
- April 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 19, 2009
- 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
- 04D1097100
- Lab name
- Primecare Medical Clinic-Conway
- Address
- 812 Oak Street, Conway, AR 72032
- Phone
- (501) 327-7100
- Fax
- (501) 327-7121
Annual test volume the lab reported
- Waived tests
- 7,000
- Provider-performed microscopy tests
- 180
- Total
- 7,180
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
- Aristotle Diagnostic Laboratories LLCCertificate of Accreditation, Independent04D2253867
- 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 Primecare Medical Clinic-Conway in Conway?
04D1097100, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Primecare Medical Clinic-Conway hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D1097100 expire?
The CMS file lists April 10, 2028 as the certificate expiration date; the certificate took effect April 11, 2026.