CLIA lab
CLIA 04D2073431: Arkansas Pediatric Clinic
North Little Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2073431 belongs to Arkansas Pediatric Clinic in North Little Rock, AR.
Certificate of Waiver, effective February 18, 2026, expires February 17, 2028.
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
- February 18, 2026
- Certificate expiration
- February 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 18, 2014
- 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
- 04D2073431
- Lab name
- Arkansas Pediatric Clinic
- Address
- 11749 Maumelle Blvd, North Little Rock, AR 72113
- Phone
- (501) 664-4117
- Fax
- (501) 664-1137
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Questions
What is the CLIA number for Arkansas Pediatric Clinic in North Little Rock?
04D2073431, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arkansas Pediatric Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2073431 expire?
The CMS file lists February 17, 2028 as the certificate expiration date; the certificate took effect February 18, 2026.