CLIA lab
CLIA 04D2015798: Riverside Medical Clinic
Lake City, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2015798 belongs to Riverside Medical Clinic in Lake City, AR.
Certificate of Waiver, effective November 4, 2024, expires November 3, 2026.
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
- November 4, 2024
- Certificate expiration
- November 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 4, 2010
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2015798
- Lab name
- Riverside Medical Clinic
- Address
- 803 Hwy 18, Lake City, AR 72437
- Phone
- (870) 237-1055
- Fax
- (870) 237-1054
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lake City, AR
Related
Questions
What is the CLIA number for Riverside Medical Clinic in Lake City?
04D2015798, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Riverside Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2015798 expire?
The CMS file lists November 3, 2026 as the certificate expiration date; the certificate took effect November 4, 2024.