CLIA lab
CLIA 04D2113333: Arkansas Prostate Cancer Center
Little Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2113333 belongs to Arkansas Prostate Cancer Center in Little Rock, 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
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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
- May 19, 2016
- 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
- 04D2113333
- Lab name
- Arkansas Prostate Cancer Center
- Address
- 1300 Centerview Drive, Suite A, Little Rock, AR 72211
- Phone
- (501) 410-1100
- Fax
- (501) 410-1109
Annual test volume the lab reported
- Waived tests
- 30
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Arkansas Prostate Cancer Center in Little Rock?
04D2113333, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arkansas Prostate Cancer Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2113333 expire?
The CMS file lists May 18, 2028 as the certificate expiration date; the certificate took effect May 19, 2026.