CLIA lab
CLIA 04D1105415: Jerry L Harvey DO PA
Cabot, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1105415 belongs to Jerry L Harvey DO PA in Cabot, AR.
Certificate of Waiver, effective September 23, 2025, expires September 22, 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
- September 23, 2025
- Certificate expiration
- September 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 23, 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
- 04D1105415
- Lab name
- Jerry L Harvey DO PA
- Address
- 15361 Hwy 5 Suite E, Cabot, AR 72023
- Phone
- (501) 605-9355
- Fax
- (501) 605-9356
Annual test volume the lab reported
- Waived tests
- 5,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Cabot, AR
- Absolute Wellness PLLCCertificate of Waiver, Physician office04D2346734
- Arcare 46Certificate of Waiver, Federally qualified health center04D2073301
- Arcare 89Certificate of Waiver, Federally qualified health center04D2106987
- Arcare 93Certificate of Waiver, Federally qualified health center04D2020574
- Arcare at Cabot School District AnnexCertificate of Waiver, Federally qualified health center04D2175849
- Arkansas DermatologyCertificate of Compliance, Physician office04D1085870
- Baptist Health Family Clinic CabotCertificate of Compliance, Physician office04D0466189
- Baptist Health Urgent Care - Cabot WestCertificate of Waiver, Physician office04D2106278
- Baptist Health Urgent Care-Cabot,arCertificate of Waiver, Physician office04D2137880
- Cabot Emergency HospitalCertificate of Compliance, Hospital04D2167461
Related
Questions
What is the CLIA number for Jerry L Harvey DO PA in Cabot?
04D1105415, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jerry L Harvey DO PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1105415 expire?
The CMS file lists September 22, 2027 as the certificate expiration date; the certificate took effect September 23, 2025.