CLIA lab
CLIA 04D2134148: Asu Mid-South Health Center
West Memphis, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2134148 belongs to Asu Mid-South Health Center in West Memphis, AR.
Certificate of Waiver, effective July 27, 2025, expires July 26, 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
- July 27, 2025
- Certificate expiration
- July 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 27, 2017
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- 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
- 04D2134148
- Lab name
- Asu Mid-South Health Center
- Address
- 2000 W Broadway, Trailer 1, West Memphis, AR 72301
- Phone
- (870) 733-6376
- Fax
- (870) 394-4872
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Diffine Family PracticeCertificate of Waiver, Physician office04D2270114
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- East Arkansas Family Health Center- West MemphisCertificate of Waiver, Other04D0467668
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Related
Questions
What is the CLIA number for Asu Mid-South Health Center in West Memphis?
04D2134148, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Asu Mid-South Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2134148 expire?
The CMS file lists July 26, 2027 as the certificate expiration date; the certificate took effect July 27, 2025.