CLIA lab
CLIA 04D2061922: Advanced Spine and Pain Center
Little Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2061922 belongs to Advanced Spine and Pain Center in Little Rock, AR.
Certificate of Waiver, effective July 8, 2025, expires July 7, 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
- July 8, 2025
- Certificate expiration
- July 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 8, 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
- 04D2061922
- Lab name
- Advanced Spine and Pain Center
- Address
- 11220 Executive Center Dr, Suite 200, Little Rock, AR 72211
- Phone
- (501) 219-1114
- Fax
- (501) 219-1115
Annual test volume the lab reported
- Waived tests
- 4,700
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 Advanced Spine and Pain Center in Little Rock?
04D2061922, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Advanced Spine and Pain Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2061922 expire?
The CMS file lists July 7, 2027 as the certificate expiration date; the certificate took effect July 8, 2025.