CLIA lab
CLIA 04D2162651: Tyson Poultry, Inc - Green Forest, Ar
Green Forest, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2162651 belongs to Tyson Poultry, Inc - Green Forest, Ar in Green Forest, 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
- 04D2162651
- Lab name
- Tyson Poultry, Inc - Green Forest, Ar
- Address
- 601 Tyson Drive, Green Forest, AR 72638
- Phone
- (870) 438-7113
- Fax
- (870) 438-7171
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Green Forest, AR
- Boston Mountain Rural Health Clinic - Green ForestCertificate of Waiver, Federally qualified health center04D1107657
- Bright Blue at Marathon Health LLCCertificate of Waiver, Other04D2214917
- Harps Pharmacy #103Certificate of Waiver, Pharmacy04D2153729
- Mercy Clinic Family Medicine - Green ForestCertificate of Waiver, Physician office04D0891058
Related
Questions
What is the CLIA number for Tyson Poultry, Inc - Green Forest, Ar in Green Forest?
04D2162651, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tyson Poultry, Inc - Green Forest, Ar hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2162651 expire?
The CMS file lists February 26, 2027 as the certificate expiration date; the certificate took effect February 27, 2025.