CLIA lab

CLIA 04D2143280: Ezechiel R Nehus

Russellville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2143280 belongs to Ezechiel R Nehus in Russellville, AR.

Certificate of Waiver, effective January 26, 2026, expires January 25, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 26, 2026
Certificate expiration
January 25, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 26, 2018
Facility type
Physician office
Ownership (control type)
Proprietary
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
04D2143280
Lab name
Ezechiel R Nehus
Address
200 North Quanah Avenue, Russellville, AR 72801
Phone
(479) 890-0368
Fax
(479) 890-7368

Annual test volume the lab reported

Waived tests
50

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Ezechiel R Nehus in Russellville?

04D2143280, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ezechiel R Nehus hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2143280 expire?

The CMS file lists January 25, 2028 as the certificate expiration date; the certificate took effect January 26, 2026.

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