CLIA lab
CLIA 04D2080637: Mercy Clinic Charleston
Charleston, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2080637 belongs to Mercy Clinic Charleston in Charleston, AR.
Certificate of Waiver, effective July 11, 2026, expires July 10, 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
- July 11, 2026
- Certificate expiration
- July 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 11, 2014
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 04D2080637
- Lab name
- Mercy Clinic Charleston
- Address
- 107 S Logan Street, Charleston, AR 72933
- Phone
- (479) 573-3120
- Fax
- (479) 965-2008
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Charleston, AR
Related
Questions
What is the CLIA number for Mercy Clinic Charleston in Charleston?
04D2080637, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mercy Clinic Charleston hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2080637 expire?
The CMS file lists July 10, 2028 as the certificate expiration date; the certificate took effect July 11, 2026.