CLIA lab
CLIA 04D2147425: Arkansas Pediatric Clinic
Little Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2147425 belongs to Arkansas Pediatric Clinic in Little Rock, AR.
Certificate of Compliance, effective December 13, 2025, expires December 12, 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 Compliance
- Certificate effective
- December 13, 2025
- Certificate expiration
- December 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 19, 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
- 04D2147425
- Lab name
- Arkansas Pediatric Clinic
- Address
- 16115 St Vincent Way, Ste 320, Little Rock, AR 72223
- Phone
- (501) 664-4117
- Fax
- (501) 603-9390
Annual test volume the lab reported
- Waived tests
- 3,345
- Other nonwaived tests
- 13,268
- Total
- 16,613
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- All for Kids Pediatric ClinicCertificate of Compliance, Physician office04D0467220
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- Allay Health and RehabCertificate of Waiver, Skilled nursing or nursing facility04D0902767
- Alpha Medical LaboratoryCertificate of Waiver, Independent04D2267958
Related
Questions
What is the CLIA number for Arkansas Pediatric Clinic in Little Rock?
04D2147425, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arkansas Pediatric Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D2147425 expire?
The CMS file lists December 12, 2027 as the certificate expiration date; the certificate took effect December 13, 2025.