CLIA lab
CLIA 04D2079796: Access Medical Clinic
Black Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2079796 belongs to Access Medical Clinic in Black Rock, AR.
Certificate of Waiver, effective June 24, 2026, expires June 23, 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
- June 24, 2026
- Certificate expiration
- June 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 2014
- Facility type
- Rural health clinic
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 67
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2079796
- Lab name
- Access Medical Clinic
- Additional name
- Bradley Bibb MD PLLC
- Address
- 3519 Hwy 63, Black Rock, AR 72415
- Phone
- (870) 878-4005
- Fax
- (501) 468-0456
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.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Access Medical Clinic in Black Rock?
04D2079796, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Access Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2079796 expire?
The CMS file lists June 23, 2028 as the certificate expiration date; the certificate took effect June 24, 2026.