CLIA lab
CLIA 04D2131674: Helena Ar VA Clinic
West Helena, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2131674 belongs to Helena Ar VA Clinic in West Helena, AR.
Certificate of Waiver, effective June 5, 2025, expires June 4, 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
- June 5, 2025
- Certificate expiration
- June 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 5, 2017
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2131674
- Lab name
- Helena Ar VA Clinic
- Address
- 125 Quarles Lane, West Helena, AR 72390
- Phone
- (870) 228-3644
- Fax
- (870) 228-8651
Annual test volume the lab reported
- Waived tests
- 650
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in West Helena, AR
Related
Questions
What is the CLIA number for Helena Ar VA Clinic in West Helena?
04D2131674, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Helena Ar VA Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2131674 expire?
The CMS file lists June 4, 2027 as the certificate expiration date; the certificate took effect June 5, 2025.