CLIA lab
CLIA 04D2115414: Interventional Pain Management
Harrison, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2115414 belongs to Interventional Pain Management in Harrison, AR.
Certificate of Waiver, effective July 7, 2026, expires July 6, 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
- July 7, 2026
- Certificate expiration
- July 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 7, 2016
- Facility type
- Community clinic
- Ownership (control type)
- Private
- 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
- 04D2115414
- Lab name
- Interventional Pain Management
- Address
- 114 E Crandall Suite A, Harrison, AR 72601
- Phone
- (870) 414-4244
- Fax
- (870) 414-4943
Annual test volume the lab reported
- Waived tests
- 5,000
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 Interventional Pain Management in Harrison?
04D2115414, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Interventional Pain Management hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2115414 expire?
The CMS file lists July 6, 2028 as the certificate expiration date; the certificate took effect July 7, 2026.