CLIA lab
CLIA 04D2033989: Pathology Services for Jefferson Regional MC
Pine Bluff, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2033989 belongs to Pathology Services for Jefferson Regional MC in Pine Bluff, AR.
Certificate of Compliance, effective August 8, 2025, expires August 7, 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 Compliance
- Certificate effective
- August 8, 2025
- Certificate expiration
- August 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 14, 2011
- Facility type
- Hospital
- Ownership (control type)
- Private
- 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
- 04D2033989
- Lab name
- Pathology Services for Jefferson Regional MC
- Address
- 1600 West 40th Avenue, Pine Bluff, AR 71603
- Phone
- (870) 541-7522
- Fax
- (870) 541-7545
Annual test volume the lab reported
- Other nonwaived tests
- 22,889
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Jefferson Regional Medical CenterCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Pine Bluff, AR
- Ach Pine Bluff ClinicCertificate of Waiver, Physician office04D0465263
- Arcare 140Certificate of Waiver, Federally qualified health center04D2349439
- Arcare 155Certificate of Waiver, Federally qualified health center04D2325162
- Archwell Health - Pine BluffCertificate of Waiver, Physician office04D2315883
- Arkansas Dept of Correction Health SVCCertificate of Waiver, Other02D0682823
- Autonomy Healthcare ProvidersCertificate of Waiver, Physician office04D2271274
- Buckhanan RecoveryCertificate of Waiver, Other04D2299468
- Cavhs Pine BluffCertificate of Accreditation, Community clinic04D2185025
- Central Arkansas Radiation Therapy InstituteCertificate of Accreditation, Physician office04D2194416
- Children's Advocacy Center of Southeast ArkansasCertificate of Waiver, Other04D2275776
Related
Questions
What is the CLIA number for Pathology Services for Jefferson Regional MC in Pine Bluff?
04D2033989, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pathology Services for Jefferson Regional MC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D2033989 expire?
The CMS file lists August 7, 2027 as the certificate expiration date; the certificate took effect August 8, 2025.