CLIA lab
CLIA 04D2129205: Applecreek Health & Rehab LLC
Centerton, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2129205 belongs to Applecreek Health & Rehab LLC in Centerton, AR.
Certificate of Waiver, effective April 14, 2025, expires April 13, 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 14, 2025
- Certificate expiration
- April 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 14, 2017
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Other
- 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
- 04D2129205
- Lab name
- Applecreek Health & Rehab LLC
- Address
- 1570 West Centerton Blvd, Centerton, AR 72719
- Phone
- (479) 224-4817
- Fax
- (479) 244-4798
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Apple Creek Health and Rehab, LLCCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Applecreek Health & Rehab LLC in Centerton?
04D2129205, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Applecreek Health & Rehab LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2129205 expire?
The CMS file lists April 13, 2027 as the certificate expiration date; the certificate took effect April 14, 2025.