CLIA lab

CLIA 04D2127171: Arkansas State Veterans Home

Nlr, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2127171 belongs to Arkansas State Veterans Home in Nlr, AR.

Certificate of Waiver, effective March 10, 2025, expires March 9, 2027.

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
March 10, 2025
Certificate expiration
March 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 10, 2017
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Government, state
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
04D2127171
Lab name
Arkansas State Veterans Home
Address
2401 John Ashley Drive, Nlr, AR 72114
Phone
(501) 683-2382
Fax
(501) 682-0357

Annual test volume the lab reported

Waived tests
74,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Related

Questions

What is the CLIA number for Arkansas State Veterans Home in Nlr?

04D2127171, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Arkansas State Veterans Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2127171 expire?

The CMS file lists March 9, 2027 as the certificate expiration date; the certificate took effect March 10, 2025.

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