CLIA lab

CLIA 04D2159886: Jay Jeffrey MD Facs PLLC

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

CLIA number 04D2159886 belongs to Jay Jeffrey MD Facs PLLC in Batesville, AR.

Certificate of Waiver, effective December 28, 2024, expires December 27, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 28, 2024
Certificate expiration
December 27, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 28, 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
04D2159886
Lab name
Jay Jeffrey MD Facs PLLC
Address
253 Virginia Dr, Batesville, AR 72501
Phone
(870) 569-8179
Fax
(870) 569-8109

Annual test volume the lab reported

Waived tests
500

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

Other labs in Batesville, AR

Related

Questions

What is the CLIA number for Jay Jeffrey MD Facs PLLC in Batesville?

04D2159886, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jay Jeffrey MD Facs PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2159886 expire?

The CMS file lists December 27, 2026 as the certificate expiration date; the certificate took effect December 28, 2024.

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