CLIA lab
CLIA 04D2163229: Stonebridge of Blytheville
Blytheville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2163229 belongs to Stonebridge of Blytheville in Blytheville, AR.
Certificate of Waiver, effective March 11, 2025, expires March 10, 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
- March 11, 2025
- Certificate expiration
- March 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 11, 2019
- Facility type
- Assisted living facility
- 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
- 04D2163229
- Lab name
- Stonebridge of Blytheville
- Additional name
- Eldercare of Arkansas
- Address
- 1401 E Moultrie Dr, Blytheville, AR 72315
- Phone
- (870) 838-0033
- Fax
- (870) 838-0034
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 Blytheville, AR
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2289685
- Adult Medicine Clinic of BlythevilleCertificate of Waiver, Physician office04D1053557
- Air-Evac 113Certificate of Waiver, Ambulance04D2064713
- Allied Health Connect Associates LLCCertificate of Waiver, Public health laboratory04D2288387
- B M A BlythevilleCertificate of Waiver, End stage renal disease dialysis facility04D0942154
- Constance H Smith MD PACertificate of Waiver, Physician office04D2049073
- Delta Behavioral Health LLCCertificate of Waiver, Other04D2275300
- Doc Network - Nucor Yamato Stell Clinic, theCertificate of Waiver, Physician office04D2223423
- Everside Health Blytheville Ar ClinicCertificate of Waiver, Other04D2258358
- Family Medicine Assoc of BlythevilleCertificate of Compliance, Physician office04D0467710
Related
Questions
What is the CLIA number for Stonebridge of Blytheville in Blytheville?
04D2163229, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Stonebridge of Blytheville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2163229 expire?
The CMS file lists March 10, 2027 as the certificate expiration date; the certificate took effect March 11, 2025.