CLIA lab
CLIA 04D2093578: Bradley Bibb MD PLLC
Bono, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2093578 belongs to Bradley Bibb MD PLLC in Bono, AR.
Certificate of Waiver, effective March 31, 2025, expires March 30, 2027.
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 RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 31, 2025
- Certificate expiration
- March 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 31, 2015
- Facility type
- Physician office
- 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
- 04D2093578
- Lab name
- Bradley Bibb MD PLLC
- Address
- 10040 US Hwy 62N, Ste 3, Bono, AR 72416
- Phone
- (870) 520-6069
- Fax
- (501) 468-0457
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
Other labs in Bono, AR
Related
Questions
What is the CLIA number for Bradley Bibb MD PLLC in Bono?
04D2093578, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bradley Bibb MD PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2093578 expire?
The CMS file lists March 30, 2027 as the certificate expiration date; the certificate took effect March 31, 2025.