CLIA lab
CLIA 04D2136062: Mercy Clinic - Pea Ridge
Pea Ridge, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2136062 belongs to Mercy Clinic - Pea Ridge in Pea Ridge, AR.
Certificate of Waiver, effective September 1, 2025, expires August 31, 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
- September 1, 2025
- Certificate expiration
- August 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 2017
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 14
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2136062
- Lab name
- Mercy Clinic - Pea Ridge
- Address
- 200 Carr Street, Pea Ridge, AR 72751
- Phone
- (479) 488-6415
- Fax
- (479) 488-6416
Annual test volume the lab reported
- Waived tests
- 3,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pea Ridge, AR
- Arcare 135Certificate of Waiver, Federally qualified health center04D2178519
- Community Clinic Pea RidgeCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center04D2190190
- Pea Ridge Urgent Care ClinicCertificate of Accreditation, Physician office04D2300073
- Walmart Pharmacy 10-6971Certificate of Waiver, Pharmacy04D2139510
Related
Questions
What is the CLIA number for Mercy Clinic - Pea Ridge in Pea Ridge?
04D2136062, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mercy Clinic - Pea Ridge hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2136062 expire?
The CMS file lists August 31, 2027 as the certificate expiration date; the certificate took effect September 1, 2025.