CLIA lab
CLIA 04D2117659: Integrated Medical
Rogers, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2117659 belongs to Integrated Medical in Rogers, AR.
Certificate of Waiver, effective August 22, 2026, expires August 21, 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 22, 2026
- Certificate expiration
- August 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 22, 2016
- Facility type
- Independent
- 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
- 04D2117659
- Lab name
- Integrated Medical
- Address
- 593 Horsebarn Rd Suite 101, Rogers, AR 72758
- Phone
- (479) 271-9191
- Fax
- (479) 271-9196
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.
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- Advanced Wound Therapy - Ar LLCCertificate of Waiver, Physician office04D2324551
- Arkansas Children's Northwest-ClinicCertificate of Waiver, Physician office04D2261955
- Ashley Health and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility04D1068896
- Blossoms at Rogers, theCertificate of Waiver, Skilled nursing or nursing facility04D0678828
- Boozman Hof Regional Eye ClinicCertificate of Waiver, Physician office04D0911561
- Boozman-Hof Eye Surgery & Laser CenterCertificate of Waiver, Ambulatory surgery center04D0911562
- CVS Pharmacy 10816Certificate of Waiver, Pharmacy04D2255925
Related
Questions
What is the CLIA number for Integrated Medical in Rogers?
04D2117659, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Integrated Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2117659 expire?
The CMS file lists August 21, 2028 as the certificate expiration date; the certificate took effect August 22, 2026.