CLIA lab
CLIA 04D2162650: Tyson Poultry, Inc - Berryville, Ar
Berryville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2162650 belongs to Tyson Poultry, Inc - Berryville, Ar in Berryville, AR.
Certificate of Waiver, effective February 27, 2025, expires February 26, 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 27, 2025
- Certificate expiration
- February 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 27, 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
- 04D2162650
- Lab name
- Tyson Poultry, Inc - Berryville, Ar
- Address
- 110 W Freeman Avenue, Berryville, AR 72616
- Phone
- (870) 423-1601
- Fax
- (870) 423-5591
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Berryville, AR
- Autumn HillCertificate of Waiver, Skilled nursing or nursing facility04D0468423
- Berryville Eyecare ClinicCertificate of Waiver, Physician office04D1098519
- Boston MTN Rural Health Center, Inc - BerryvilleCertificate of Waiver, Federally qualified health center04D2304464
- Mercy Clinic BerryvilleCertificate of Compliance, Physician office04D0468429
- Mercy Hospital BerryvilleCertificate of Accreditation, Hospital04D0468424
- Narmc Physician's Clinic of BerryvilleCertificate of Waiver, Physician office04D2127186
- Poynor DrugCertificate of Waiver, Pharmacy04D2327215
- Turn Key Health Clinics - Carrol CountyCertificate of Waiver, Prison04D2227622
- Walmart Pharmacy 10-0076Certificate of Waiver, Pharmacy04D2127852
Related
Questions
What is the CLIA number for Tyson Poultry, Inc - Berryville, Ar in Berryville?
04D2162650, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tyson Poultry, Inc - Berryville, Ar hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2162650 expire?
The CMS file lists February 26, 2027 as the certificate expiration date; the certificate took effect February 27, 2025.