CLIA lab
CLIA 04D2045427: Maple Creek Medical Clinic
Hensley, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2045427 belongs to Maple Creek Medical Clinic in Hensley, AR.
Certificate for Provider-Performed Microscopy Procedures, effective August 13, 2026, expires August 12, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 13, 2026
- Certificate expiration
- August 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 13, 2012
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2045427
- Lab name
- Maple Creek Medical Clinic
- Additional name
- A Member of Ar Family Care Network, P.A.
- Address
- 21019 Hwy 167, Suite 200, Hensley, AR 72065
- Phone
- (501) 224-1690
Annual test volume the lab reported
- Waived tests
- 2,200
- Provider-performed microscopy tests
- 1,400
- Total
- 3,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Maple Creek Medical Clinic in Hensley?
04D2045427, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maple Creek Medical Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2045427 expire?
The CMS file lists August 12, 2028 as the certificate expiration date; the certificate took effect August 13, 2026.