CLIA lab
CLIA 04D2128992: Arkansas Outpatient Surgery Center, LLC
North Little Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2128992 belongs to Arkansas Outpatient Surgery Center, LLC in North Little Rock, AR.
Certificate of Waiver, effective April 11, 2025, expires April 10, 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
- April 11, 2025
- Certificate expiration
- April 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 11, 2017
- Facility type
- Ambulatory surgery center
- 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
- 04D2128992
- Lab name
- Arkansas Outpatient Surgery Center, LLC
- Address
- 4331 E 43rd Street, North Little Rock, AR 72117
- Phone
- (501) 744-2672
Annual test volume the lab reported
- Waived tests
- 750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Questions
What is the CLIA number for Arkansas Outpatient Surgery Center, LLC in North Little Rock?
04D2128992, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arkansas Outpatient Surgery Center, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2128992 expire?
The CMS file lists April 10, 2027 as the certificate expiration date; the certificate took effect April 11, 2025.