CLIA lab

CLIA 04D2052565: Mana Family Medicine Lowell

Lowell, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2052565 belongs to Mana Family Medicine Lowell in Lowell, AR.

Certificate of Waiver, effective January 14, 2025, expires January 13, 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 Waiver
Certificate effective
January 14, 2025
Certificate expiration
January 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 14, 2013
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
04D2052565
Lab name
Mana Family Medicine Lowell
Additional name
Medical Associates of Northwest Arkansas
Address
503 Hospitality Lane, Lowell, AR 72745
Phone
(479) 657-6600
Fax
(479) 657-6632

Annual test volume the lab reported

Waived tests
1,500

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 Mana Family Medicine Lowell in Lowell?

04D2052565, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mana Family Medicine Lowell hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2052565 expire?

The CMS file lists January 13, 2027 as the certificate expiration date; the certificate took effect January 14, 2025.

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