CLIA lab
CLIA 04D2122991: Access Medical Clinic Dardanelle
Dardanelle, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2122991 belongs to Access Medical Clinic Dardanelle in Dardanelle, AR.
Certificate of Waiver, effective December 12, 2024, expires December 11, 2026.
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
- December 12, 2024
- Certificate expiration
- December 11, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 12, 2016
- Facility type
- Rural health clinic
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 67
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2122991
- Lab name
- Access Medical Clinic Dardanelle
- Address
- 1176 State Hwy 22 W, Ste B, Dardanelle, AR 72834
- Phone
- (479) 229-3004
- Fax
- (501) 468-0460
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Dardanelle, AR
- Dardanelle Hospital LLCCertificate of Accreditation, Hospital04D0469061
- Dardanelle Nursing and Rehabilitation Center IncCertificate of Waiver, Skilled nursing or nursing facility04D0855871
- Dardanelle Regional Medical ClinicCertificate of Waiver, Community clinic04D2198146
- Kirkland Family Medical CenterCertificate of Waiver, Physician office04D1087015
- Millard Henry Clinic of DardanelleCertificate of Compliance, Physician office04D2263770
- Rose Drug of DardanelleCertificate of Waiver, Pharmacy04D2269189
- Tyson Poultry, Inc - Dardanelle, ArCertificate of Waiver, Other04D2162318
- Walmart Pharmacy 10-0296Certificate of Waiver, Pharmacy04D2127846
Related
Questions
What is the CLIA number for Access Medical Clinic Dardanelle in Dardanelle?
04D2122991, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Access Medical Clinic Dardanelle hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2122991 expire?
The CMS file lists December 11, 2026 as the certificate expiration date; the certificate took effect December 12, 2024.