CLIA lab

CLIA 04D2084745: Marianna Medical Clinic

Marianna, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2084745 belongs to Marianna Medical Clinic in Marianna, AR.

Certificate of Waiver, effective May 19, 2026, expires May 18, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
May 19, 2026
Certificate expiration
May 18, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 30, 2014
Facility type
Rural health clinic
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
04D2084745
Lab name
Marianna Medical Clinic
Additional name
Phillips Clinic Company, LLC
Address
15 North Poplar St, Marianna, AR 72360
Phone
(870) 295-3430
Fax
(870) 295-3540

Annual test volume the lab reported

Waived tests
1,200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Marianna, AR

Related

Questions

What is the CLIA number for Marianna Medical Clinic in Marianna?

04D2084745, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Marianna Medical Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2084745 expire?

The CMS file lists May 18, 2028 as the certificate expiration date; the certificate took effect May 19, 2026.

Try it on your own data today.

Free to start. Most teams are using it the same day.