CLIA lab
CLIA 04D2062313: Prairie Grove School Based Health Center
Prairie Grove, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2062313 belongs to Prairie Grove School Based Health Center in Prairie Grove, AR.
Certificate for Provider-Performed Microscopy Procedures, effective July 15, 2025, expires July 14, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- July 15, 2025
- Certificate expiration
- July 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 15, 2013
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- 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
- 04D2062313
- Lab name
- Prairie Grove School Based Health Center
- Address
- 801 Viney Grove Rd, Prairie Grove, AR 72753
- Phone
- (479) 751-7417
- Fax
- (479) 751-2878
Annual test volume the lab reported
- Waived tests
- 250
- Provider-performed microscopy tests
- 25
- Total
- 275
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Prairie Grove, AR
- Access Medical Clinic LLCCertificate of Waiver, Physician office04D2268884
- Collier Drug - Prairie GroveCertificate of Waiver, Pharmacy04D2275312
- Mana Family Medicine Prairie GroveCertificate for Provider-Performed Microscopy Procedures, Physician office04D0930326
- Prairie Grove Health and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility04D0670714
Related
Questions
What is the CLIA number for Prairie Grove School Based Health Center in Prairie Grove?
04D2062313, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prairie Grove School Based Health Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2062313 expire?
The CMS file lists July 14, 2027 as the certificate expiration date; the certificate took effect July 15, 2025.