CLIA lab
CLIA 04D1101308: Prime Medical Imaging
Van Buren, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1101308 belongs to Prime Medical Imaging in Van Buren, AR.
Certificate of Waiver, effective June 24, 2025, expires June 23, 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
- June 24, 2025
- Certificate expiration
- June 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 2009
- Facility type
- Ancillary test site
- Ownership (control type)
- Private
- 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
- 04D1101308
- Lab name
- Prime Medical Imaging
- Address
- 320 South 9th, Van Buren, AR 72956
- Phone
- (479) 474-1616
- Fax
- (479) 471-5637
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Van Buren, AR
- Amedisys Home Health Care of ArkansasCertificate of Waiver, Home health agency04D1015042
- Arkansas Occupational Health Clinic - Van BurenCertificate of Waiver, Physician office04D2087233
- Baptist Health - Van BurenCertificate of Registration, Hospital04D0469351
- Baptist Health Family Clinic - Van BurenCertificate of Waiver, Physician office04D0469365
- Baptist Health Urgent Care - Van BurenCertificate of Waiver, Physician office04D2259326
- Clouse Family MedicineCertificate of Waiver, Other practitioner04D2110493
- Crawford Hlthcare & Rehabilitation CTRCertificate of Waiver, Skilled nursing or nursing facility04D0670474
- Harps Pharmacy 352Certificate of Waiver, Pharmacy04D2286899
- Hudson PharmacyCertificate of Waiver, Physician office04D2232203
- Lumina Behavioral HealthCertificate of Waiver, Other04D2233763
Related
Questions
What is the CLIA number for Prime Medical Imaging in Van Buren?
04D1101308, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prime Medical Imaging hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1101308 expire?
The CMS file lists June 23, 2027 as the certificate expiration date; the certificate took effect June 24, 2025.