CLIA lab
CLIA 04D2013175: Cavhs Russellville Cboc
Russellville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2013175 belongs to Cavhs Russellville Cboc in Russellville, AR.
Certificate of Accreditation, effective September 15, 2010, expires May 22, 2032.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Accreditation
- Certificate effective
- September 15, 2010
- Certificate expiration
- May 22, 2032
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 2010
- Facility type
- Community clinic
- Ownership (control type)
- Government, federal
- Lab classification
- CLIA VA laboratory
- Accrediting organizations
- College of American Pathologists (CAP)
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2013175
- Lab name
- Cavhs Russellville Cboc
- Address
- 3106 West 2nd Ct, Russellville, AR 72801
- Phone
- (479) 880-5100
Annual test volume the lab reported
- Waived tests
- 10,005
- Tests under accreditation
- 10,005
- Total
- 20,010
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Russellville, AR
- Ar Heart Hospital Rural Health Svcs - RussellvilleCertificate of Waiver, Physician office04D1096786
- Arcare 92Certificate of Waiver, Federally qualified health center04D2308343
- Arcare 98Certificate of Waiver, Federally qualified health center04D2329669
- Arkansas DermatologyCertificate of Compliance, Physician office04D2178013
- Arkansas Dermatology CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D0949890
- Arkansas Occupational Health Clinic - RussellvilleCertificate of Waiver, Physician office04D2119425
- Arkansas Renal Group, PA - RussellvilleCertificate of Waiver, Physician office04D2112078
- Arkansas Tech University Health & Wellness CenterCertificate for Provider-Performed Microscopy Procedures, School or student health service04D0909870
- Arkansas Urology/RussellvilleCertificate for Provider-Performed Microscopy Procedures, Physician office04D1100397
- BPC Plasma, IncCertificate of Accreditation, Independent04D2162256
Related
Questions
What is the CLIA number for Cavhs Russellville Cboc in Russellville?
04D2013175, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cavhs Russellville Cboc hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 04D2013175 expire?
The CMS file lists May 22, 2032 as the certificate expiration date; the certificate took effect September 15, 2010.