CLIA lab
CLIA 04D2161079: Healthcare Express
De Queen, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2161079 belongs to Healthcare Express in De Queen, AR.
Certificate of Waiver, effective September 1, 2025, expires August 31, 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 Waiver
- Certificate effective
- September 1, 2025
- Certificate expiration
- August 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 2019
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2161079
- Lab name
- Healthcare Express
- Address
- 1021 W Collin Raye Dr, De Queen, AR 71832
- Phone
- (870) 518-0028
- Fax
- (870) 627-3532
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in De Queen, AR
- Air-Evac 73Certificate of Waiver, Ambulance04D1089085
- Amedisys Home HealthCertificate of Waiver, Home health agency04D0670583
- Bear Creek HealthcareCertificate of Waiver, Skilled nursing or nursing facility04D0688970
- De Queen Family Medical Associates PLLCCertificate of Waiver, Other practitioner04D2301302
- De Queen Health and Wellness Pharmacy LLCCertificate of Waiver, Pharmacy04D2238228
- Dqh&w Walk in Family Clinic LLCCertificate of Waiver, Other practitioner04D2095475
- Dqhha Equipment & Supply Co IncCertificate of Waiver, Other04D1098529
- Floyd Gonzalez MD PACertificate of Waiver, Physician office04D2162140
- Healthy Connections, IncCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center04D0976082
- Keith Mitchell, MDCertificate for Provider-Performed Microscopy Procedures, Physician office04D1021900
Related
Questions
What is the CLIA number for Healthcare Express in De Queen?
04D2161079, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Healthcare Express hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2161079 expire?
The CMS file lists August 31, 2027 as the certificate expiration date; the certificate took effect September 1, 2025.