CLIA lab
CLIA 04D2154565: Advanced Dermatology & Skin Cancer Center
Harrison, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2154565 belongs to Advanced Dermatology & Skin Cancer Center in Harrison, AR.
Certificate for Provider-Performed Microscopy Procedures, effective July 15, 2025, expires July 14, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- July 15, 2025
- Certificate expiration
- July 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 14, 2018
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2154565
- Lab name
- Advanced Dermatology & Skin Cancer Center
- Address
- 1324 North Hwy 62/65 Sierra Center, Suite C2, Harrison, AR 72601
- Phone
- (479) 718-7546
- Fax
- (479) 966-4979
Annual test volume the lab reported
- Waived tests
- 3
- Provider-performed microscopy tests
- 8
- Total
- 11
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Harrison, AR
- Air-Evac 40Certificate of Waiver, Ambulance04D1089081
- Baxter Health Ambulatory Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center04D2321911
- Baxter Health Cardiology Clinic at HarrisonCertificate of Waiver, Physician office04D2298323
- Baxter Health Crossroads Family ClinicCertificate for Provider-Performed Microscopy Procedures, End stage renal disease dialysis facility04D1052983
- Baxter Health Harrison Family PracticeCertificate of Waiver, Physician office04D0690634
- Baxter Health Imaging at HarrisonCertificate of Waiver, Ambulatory surgery center04D2332704
- Baxter Health Mcclintock Family ClinicCertificate of Compliance, Physician office04D0468385
- Baxter Health Premier Family ClinicCertificate of Compliance, Physician office04D1050346
- Baxter Health Urology Clinic at HarrisonCertificate for Provider-Performed Microscopy Procedures, Community clinic04D2274760
- Baxter Health Willow Street Family ClinicCertificate of Waiver, Community clinic04D2187783
Related
Questions
What is the CLIA number for Advanced Dermatology & Skin Cancer Center in Harrison?
04D2154565, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Advanced Dermatology & Skin Cancer Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2154565 expire?
The CMS file lists July 14, 2027 as the certificate expiration date; the certificate took effect July 15, 2025.