CLIA lab
CLIA 04D2123688: Five Rivers Rural Health Clinic
Pocahontas, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2123688 belongs to Five Rivers Rural Health Clinic in Pocahontas, AR.
Certificate of Waiver, effective December 28, 2024, expires December 27, 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 28, 2024
- Certificate expiration
- December 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 28, 2016
- Facility type
- Rural health clinic
- 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
- 04D2123688
- Lab name
- Five Rivers Rural Health Clinic
- Address
- 2018 Hwy 67 S, Pocahontas, AR 72455
- Phone
- (870) 892-6218
- Fax
- (870) 892-6152
Annual test volume the lab reported
- Waived tests
- 2,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Pocahontas Medical Clinic EastCertificate of Compliance, Physician office04D2032677
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Related
Questions
What is the CLIA number for Five Rivers Rural Health Clinic in Pocahontas?
04D2123688, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Five Rivers Rural Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2123688 expire?
The CMS file lists December 27, 2026 as the certificate expiration date; the certificate took effect December 28, 2024.