CLIA lab
CLIA 04D2110493: Clouse Family Medicine
Van Buren, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2110493 belongs to Clouse Family Medicine in Van Buren, AR.
Certificate of Waiver, effective March 15, 2026, expires March 14, 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
- March 15, 2026
- Certificate expiration
- March 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 15, 2016
- Facility type
- Other practitioner
- 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
- 04D2110493
- Lab name
- Clouse Family Medicine
- Address
- 623 Fayetteville Road, Van Buren, AR 72956
- Phone
- (479) 410-2225
- Fax
- (479) 410-9238
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Van Buren, AR
- Amedisys Home Health Care of ArkansasCertificate of Waiver, Home health agency04D1015042
- Arkansas Occupational Health Clinic - Van BurenCertificate of Waiver, Physician office04D2087233
- Baptist Health - Van BurenCertificate of Registration, Hospital04D0469351
- Baptist Health Family Clinic - Van BurenCertificate of Waiver, Physician office04D0469365
- Baptist Health Urgent Care - Van BurenCertificate of Waiver, Physician office04D2259326
- Crawford Hlthcare & Rehabilitation CTRCertificate of Waiver, Skilled nursing or nursing facility04D0670474
- Harps Pharmacy 352Certificate of Waiver, Pharmacy04D2286899
- Hudson PharmacyCertificate of Waiver, Physician office04D2232203
- Lumina Behavioral HealthCertificate of Waiver, Other04D2233763
- Mercy Clinic Van BurenCertificate of Waiver, Physician office04D1068883
Related
Questions
What is the CLIA number for Clouse Family Medicine in Van Buren?
04D2110493, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clouse Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2110493 expire?
The CMS file lists March 14, 2028 as the certificate expiration date; the certificate took effect March 15, 2026.