CLIA lab
CLIA 04D2104614: True Dermatology PLLC
Bella Vista, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2104614 belongs to True Dermatology PLLC in Bella Vista, AR.
Certificate for Provider-Performed Microscopy Procedures, effective November 9, 2025, expires November 8, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 9, 2025
- Certificate expiration
- November 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 9, 2015
- 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
- 04D2104614
- Lab name
- True Dermatology PLLC
- Address
- 14 Riordan Rd, Bella Vista, AR 72714
- Phone
- (479) 273-3376
- Fax
- (479) 273-3468
Annual test volume the lab reported
- Waived tests
- 150
- Provider-performed microscopy tests
- 30
- Total
- 180
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bella Vista, AR
- City of Bella Vista Ambulance ServiceCertificate of Waiver, Other04D0937397
- Concordia Nursing and RehabCertificate of Waiver, Other04D0468721
- Highlands of Bella Vista Health and RehabCertificate of Waiver, Skilled nursing or nursing facility04D1025411
- Hull DermatologyCertificate of Compliance, Physician office04D2166077
- Mercy Bella VistaCertificate of Compliance, Hospital04D2070630
- Mercy Bella Vista ClinicCertificate of Waiver, Physician office04D2068871
- Mercy Clinic CardiologyCertificate of Waiver, Physician office04D0724198
- Walgreens #09593Certificate of Waiver, Pharmacy04D2239760
Related
Questions
What is the CLIA number for True Dermatology PLLC in Bella Vista?
04D2104614, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does True Dermatology PLLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2104614 expire?
The CMS file lists November 8, 2027 as the certificate expiration date; the certificate took effect November 9, 2025.