CLIA lab

CLIA 04D2162318: Tyson Poultry, Inc - Dardanelle, Ar

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

CLIA number 04D2162318 belongs to Tyson Poultry, Inc - Dardanelle, Ar in Dardanelle, AR.

Certificate of Waiver, effective February 20, 2025, expires February 19, 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
February 20, 2025
Certificate expiration
February 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 20, 2019
Facility type
Other
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
04D2162318
Lab name
Tyson Poultry, Inc - Dardanelle, Ar
Address
1291 N Hwy 7, Dardanelle, AR 72834
Phone
(479) 229-8761
Fax
(479) 717-0336

Annual test volume the lab reported

Waived tests
510

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

Other labs in Dardanelle, AR

Related

Questions

What is the CLIA number for Tyson Poultry, Inc - Dardanelle, Ar in Dardanelle?

04D2162318, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Tyson Poultry, Inc - Dardanelle, Ar hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2162318 expire?

The CMS file lists February 19, 2027 as the certificate expiration date; the certificate took effect February 20, 2025.

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