CLIA lab
CLIA 04D2035052: Mercy Clinic Primary Care - Booneville
Booneville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2035052 belongs to Mercy Clinic Primary Care - Booneville in Booneville, AR.
Certificate of Waiver, effective January 10, 2026, expires January 9, 2028.
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
- January 10, 2026
- Certificate expiration
- January 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 10, 2012
- Facility type
- Rural health clinic
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2035052
- Lab name
- Mercy Clinic Primary Care - Booneville
- Address
- 128 Daniel Avenue, Booneville, AR 72927
- Phone
- (479) 675-2455
- Fax
- (479) 675-4940
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Booneville, AR
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Rural health clinic04D2137349
- Big World Drug Enterprises, IncCertificate of Waiver, Pharmacy04D2256880
- Booneville Human Development CenterCertificate for Provider-Performed Microscopy Procedures, Intermediate care facility for individuals with intellectual disabilities04D0919709
- Booneville School DistrictCertificate of Waiver, School or student health service04D2205676
- Mercy Booneville School Based ClinicCertificate of Waiver, Physician office04D2176027
- Mercy Hospital BoonevilleCertificate of Registration, Hospital04D0469307
- Oak Manor Nursing & Rehabilitation Center, IncCertificate of Waiver, Skilled nursing or nursing facility04D0673907
- Walmart Pharmacy 10-0055Certificate of Waiver, Pharmacy04D2127867
Related
Questions
What is the CLIA number for Mercy Clinic Primary Care - Booneville in Booneville?
04D2035052, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mercy Clinic Primary Care - Booneville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2035052 expire?
The CMS file lists January 9, 2028 as the certificate expiration date; the certificate took effect January 10, 2026.