CLIA lab
CLIA 04D2162140: Floyd Gonzalez MD PA
De Queen, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2162140 belongs to Floyd Gonzalez MD PA in De Queen, AR.
Certificate of Waiver, effective February 19, 2025, expires February 18, 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
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
- February 19, 2025
- Certificate expiration
- February 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 19, 2019
- 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
- 04D2162140
- Lab name
- Floyd Gonzalez MD PA
- Address
- 821 Walter J Leeper Drive, Suite 101, De Queen, AR 71832
- Phone
- (870) 642-8640
- Fax
- (870) 642-3516
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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
- Healthcare ExpressCertificate of Waiver, Other04D2161079
- 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 Floyd Gonzalez MD PA in De Queen?
04D2162140, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Floyd Gonzalez MD PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2162140 expire?
The CMS file lists February 18, 2027 as the certificate expiration date; the certificate took effect February 19, 2025.