CLIA lab
CLIA 04D2079405: Primecare Medical Clinic
Sherwood, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2079405 belongs to Primecare Medical Clinic in Sherwood, AR.
Certificate for Provider-Performed Microscopy Procedures, effective June 16, 2026, expires June 15, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 16, 2026
- Certificate expiration
- June 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 16, 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
- 04D2079405
- Lab name
- Primecare Medical Clinic
- Address
- 10301 Johnson Dr, Sherwood, AR 72120
- Phone
- (501) 812-6655
- Fax
- (501) 812-6677
Annual test volume the lab reported
- Waived tests
- 20,000
- Provider-performed microscopy tests
- 200
- Total
- 20,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Sherwood, AR
- Armo Diagnostics, LLCCertificate of Compliance, Independent04D2212097
- Chi ST Vincent Multi Specialty NorthCertificate of Waiver, Physician office04D2278590
- Chi ST Vincent North - Frozen SectionCertificate of Compliance, Independent04D0950842
- Chi ST Vincent Sherwood Rehabilitation HospitalCertificate of Waiver, Hospital04D0683193
- Exacta Laboratory SystemsCertificate of Accreditation, Independent04D2177406
- Express RX of SherwoodCertificate of Waiver, Pharmacy04D2144467
- Family Eye ClinicCertificate of Waiver, Other practitioner04D2113594
- Gardens of Sherwood, theCertificate of Waiver, Other04D2330665
- Healthcare Express - SherwoodCertificate of Waiver, Other04D2150843
- Helios Clinical ResearchCertificate of Waiver, Other04D2334965
Related
Questions
What is the CLIA number for Primecare Medical Clinic in Sherwood?
04D2079405, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Primecare Medical Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2079405 expire?
The CMS file lists June 15, 2028 as the certificate expiration date; the certificate took effect June 16, 2026.