CLIA lab
CLIA 04D2131806: Ozark Dermatology Clinic Siloam Springs
Siloam Springs, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2131806 belongs to Ozark Dermatology Clinic Siloam Springs in Siloam Springs, AR.
Certificate for Provider-Performed Microscopy Procedures, effective May 20, 2026, expires May 19, 2028.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- May 20, 2026
- Certificate expiration
- May 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 6, 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
- 04D2131806
- Lab name
- Ozark Dermatology Clinic Siloam Springs
- Address
- 2033 Ravenwood Plaza, Siloam Springs, AR 72761
- Phone
- (479) 373-6566
- Fax
- (479) 373-6567
Annual test volume the lab reported
- Provider-performed microscopy tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Siloam Springs, AR
- Broadhurst Street Medical ClinicCertificate of Waiver, Federally qualified health center04D2300449
- Cobb-Vantress, Inc - Siloam Springs, ArCertificate of Waiver, Other04D2162275
- Dialysis Center of Siloam SpringsCertificate of Waiver, End stage renal disease dialysis facility04D1062384
- Fast Pace Health Mississippi PLLCCertificate of Waiver, Physician office04D2311350
- Harps Pharmacy #113Certificate of Waiver, Pharmacy04D2319082
- Join Parachute - Siloam SpringsCertificate of Accreditation, Other04D2305797
- New Beginnings Pregnancy Services, IncCertificate of Waiver, Skilled nursing or nursing facility04D1082507
- Premier Family Health CareCertificate of Waiver, Other04D2305953
- Roberts-Philpott Eye AssociatesCertificate of Waiver, Physician office04D2060845
- Sager Creek Pediatrics ClinicCertificate of Compliance, Federally qualified health center04D2299349
Related
Questions
What is the CLIA number for Ozark Dermatology Clinic Siloam Springs in Siloam Springs?
04D2131806, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ozark Dermatology Clinic Siloam Springs hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2131806 expire?
The CMS file lists May 19, 2028 as the certificate expiration date; the certificate took effect May 20, 2026.