CLIA lab

CLIA 04D2058558: Bmrhc South Side

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

CLIA number 04D2058558 belongs to Bmrhc South Side in Bee Branch, AR.

Certificate of Waiver, effective October 30, 2024, expires October 29, 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
October 30, 2024
Certificate expiration
October 29, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
May 9, 2013
Facility type
Federally qualified health center
Ownership (control type)
Government, other
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
04D2058558
Lab name
Bmrhc South Side
Address
326 South Side Road, Bee Branch, AR 72013
Phone
(501) 654-2006
Fax
(501) 654-2016

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Related

Questions

What is the CLIA number for Bmrhc South Side in Bee Branch?

04D2058558, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bmrhc South Side hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2058558 expire?

The CMS file lists October 29, 2026 as the certificate expiration date; the certificate took effect October 30, 2024.

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