CLIA lab
CLIA 04D2065008: Mississippi County Primary Care Physicians Clinic
Blytheville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2065008 belongs to Mississippi County Primary Care Physicians Clinic in Blytheville, AR.
Certificate of Waiver, effective August 30, 2025, expires August 29, 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
- August 30, 2025
- Certificate expiration
- August 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 30, 2013
- Facility type
- Physician office
- 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
- 04D2065008
- Lab name
- Mississippi County Primary Care Physicians Clinic
- Address
- 302 West Union, Suite B, Blytheville, AR 72315
- Phone
- (870) 563-6504
- Fax
- (870) 563-7482
Annual test volume the lab reported
- Waived tests
- 1,130
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Blytheville, AR
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2289685
- Adult Medicine Clinic of BlythevilleCertificate of Waiver, Physician office04D1053557
- Air-Evac 113Certificate of Waiver, Ambulance04D2064713
- Allied Health Connect Associates LLCCertificate of Waiver, Public health laboratory04D2288387
- B M A BlythevilleCertificate of Waiver, End stage renal disease dialysis facility04D0942154
- Constance H Smith MD PACertificate of Waiver, Physician office04D2049073
- Delta Behavioral Health LLCCertificate of Waiver, Other04D2275300
- Doc Network - Nucor Yamato Stell Clinic, theCertificate of Waiver, Physician office04D2223423
- Everside Health Blytheville Ar ClinicCertificate of Waiver, Other04D2258358
- Family Medicine Assoc of BlythevilleCertificate of Compliance, Physician office04D0467710
Related
Questions
What is the CLIA number for Mississippi County Primary Care Physicians Clinic in Blytheville?
04D2065008, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mississippi County Primary Care Physicians Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2065008 expire?
The CMS file lists August 29, 2027 as the certificate expiration date; the certificate took effect August 30, 2025.