CLIA lab
CLIA 04D2051423: Fulton County Hospital EMS
Salem, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2051423 belongs to Fulton County Hospital EMS in Salem, AR.
Certificate of Waiver, effective December 18, 2024, expires December 17, 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
- December 18, 2024
- Certificate expiration
- December 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 18, 2012
- Facility type
- Ambulance
- Ownership (control type)
- Government, county
- 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
- 04D2051423
- Lab name
- Fulton County Hospital EMS
- Address
- 679 N Main Street, Salem, AR 72576
- Phone
- (870) 895-6065
- Fax
- (870) 895-3833
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Salem, AR
- 1st Choice Healthcare, IncCertificate of Accreditation, Federally qualified health center04D2130626
- Baxter Health Fulton County Family ClinicCertificate of Waiver, Rural health clinic04D2314854
- Baxter Health Fulton County HospitalCertificate of Compliance, Hospital04D0468338
- Bradley Bibb, MD PLLCCertificate of Waiver, Physician office04D2308339
- Elite Home HealthCertificate of Waiver, Home health agency04D1068873
- Guy B Smith DCCertificate of Waiver, Other practitioner04D2091400
- Legacy Hospice of North ArkansasCertificate of Waiver, Hospice04D1038349
- Salem Clinic PLLCCertificate of Waiver, Physician office04D0468341
- Salem Family Clinic P ACertificate of Compliance, Physician office04D2173838
- Southfork River Therapy & LivingCertificate of Waiver, Skilled nursing or nursing facility04D0679850
Related
Questions
What is the CLIA number for Fulton County Hospital EMS in Salem?
04D2051423, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fulton County Hospital EMS hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2051423 expire?
The CMS file lists December 17, 2026 as the certificate expiration date; the certificate took effect December 18, 2024.