CLIA lab
CLIA 04D2158098: Memorial Medical Clinic
Ashdown, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2158098 belongs to Memorial Medical Clinic in Ashdown, AR.
Certificate of Waiver, effective November 20, 2024, expires November 19, 2026.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 20, 2024
- Certificate expiration
- November 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 20, 2018
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- 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
- 04D2158098
- Lab name
- Memorial Medical Clinic
- Address
- 370 West Main Street, Ashdown, AR 71822
- Phone
- (870) 898-4100
- Fax
- (870) 898-4136
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.
Other labs in Ashdown, AR
- Cardinal Care ClinicCertificate of Waiver, Physician office04D2313318
- Family Medical AssociatesCertificate for Provider-Performed Microscopy Procedures, Physician office04D1045171
- Little River Memorial HospitalCertificate of Compliance, Hospital04D0465694
- Little River Memorial Hospital Home HealthCertificate of Waiver, Home health agency04D0921731
- Little River Nursing & RehabCertificate of Waiver, Skilled nursing or nursing facility04D0465693
- Pleasant Manor Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility04D0874275
- Quadmed Llc/Domtar ClinicCertificate of Waiver, Physician office04D2038315
- Rachel C King, MD PACertificate of Waiver, Physician office04D2066170
- Southern Grace Healthcare IncCertificate of Waiver, Other practitioner04D2240383
- Walmart Pharmacy 10-0133Certificate of Waiver, Pharmacy04D2128405
Related
Questions
What is the CLIA number for Memorial Medical Clinic in Ashdown?
04D2158098, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2158098 expire?
The CMS file lists November 19, 2026 as the certificate expiration date; the certificate took effect November 20, 2024.