CLIA lab
CLIA 04D2000105: Ach West Little Rock Clinic
Little Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2000105 belongs to Ach West Little Rock Clinic in Little Rock, AR.
Certificate for Provider-Performed Microscopy Procedures, effective February 11, 2025, expires February 10, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- February 11, 2025
- Certificate expiration
- February 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 19, 2009
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 9
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2000105
- Lab name
- Ach West Little Rock Clinic
- Address
- 16101 Cantrell Road, Ste 114, Little Rock, AR 72223
- Phone
- (501) 364-2066
Annual test volume the lab reported
- Waived tests
- 9,000
- Provider-performed microscopy tests
- 150
- Total
- 9,150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Little Rock, AR
- Ac PediatricsCertificate of Waiver, Physician office04D2000106
- Acetaminophen Toxicity Diagnostics, LLC LaboratoryCertificate of Accreditation, Independent04D2155617
- Ach Point of Care TestingCertificate for Provider-Performed Microscopy Procedures, Hospital04D0865608
- Advance Spine and Pain CenterCertificate of Accreditation, Physician office04D2084810
- Advanced Spine and Pain CenterCertificate of Waiver, Physician office04D2061922
- All for Kids Pediatric ClinicCertificate of Compliance, Physician office04D0467220
- Allan Mckenzie MDCertificate of Waiver, Physician office04D2132908
- Allay Health and RehabCertificate of Waiver, Skilled nursing or nursing facility04D0902767
- Alpha Medical LaboratoryCertificate of Waiver, Independent04D2267958
- Ams Arkansas Lab LLCCertificate of Waiver, Independent04D2230703
Related
Questions
What is the CLIA number for Ach West Little Rock Clinic in Little Rock?
04D2000105, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ach West Little Rock Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2000105 expire?
The CMS file lists February 10, 2027 as the certificate expiration date; the certificate took effect February 11, 2025.