CLIA lab
CLIA 04D2116857: Kindred at Home
Russellville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2116857 belongs to Kindred at Home in Russellville, AR.
Certificate of Waiver, effective August 3, 2026, expires August 2, 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
- August 3, 2026
- Certificate expiration
- August 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 3, 2016
- Facility type
- Home health agency
- 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
- 04D2116857
- Lab name
- Kindred at Home
- Additional name
- Kah Development 4, LLC
- Address
- 1509 East Main Street, Ste 6, Russellville, AR 72801
- Phone
- (479) 890-2730
- Fax
- (479) 890-2562
Annual test volume the lab reported
- Waived tests
- 260
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Russellville, AR
- Ar Heart Hospital Rural Health Svcs - RussellvilleCertificate of Waiver, Physician office04D1096786
- Arcare 92Certificate of Waiver, Federally qualified health center04D2308343
- Arcare 98Certificate of Waiver, Federally qualified health center04D2329669
- Arkansas DermatologyCertificate of Compliance, Physician office04D2178013
- Arkansas Dermatology CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D0949890
- Arkansas Occupational Health Clinic - RussellvilleCertificate of Waiver, Physician office04D2119425
- Arkansas Renal Group, PA - RussellvilleCertificate of Waiver, Physician office04D2112078
- Arkansas Tech University Health & Wellness CenterCertificate for Provider-Performed Microscopy Procedures, School or student health service04D0909870
- Arkansas Urology/RussellvilleCertificate for Provider-Performed Microscopy Procedures, Physician office04D1100397
- BPC Plasma, IncCertificate of Accreditation, Independent04D2162256
Related
Questions
What is the CLIA number for Kindred at Home in Russellville?
04D2116857, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kindred at Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2116857 expire?
The CMS file lists August 2, 2028 as the certificate expiration date; the certificate took effect August 3, 2026.