CLIA lab
CLIA 04D2164159: Hull Dermatology
Huntsville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2164159 belongs to Hull Dermatology in Huntsville, AR.
Certificate of Compliance, effective March 3, 2026, expires March 2, 2028.
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 Compliance
- Certificate effective
- March 3, 2026
- Certificate expiration
- March 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 29, 2019
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2164159
- Lab name
- Hull Dermatology
- Address
- 896B Madison 3275, Huntsville, AR 72740
- Phone
- (479) 254-9662
- Fax
- (479) 254-9652
Annual test volume the lab reported
- Other nonwaived tests
- 6,803
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Huntsville, AR
- Arcare 57Certificate of Waiver, Federally qualified health center04D2290598
- Boston MTN Rural Health Center Inc - HV SbhcCertificate of Waiver, Federally qualified health center04D2317302
- Boston Mountain Rural Health Center,inc-HuntsvilleCertificate of Waiver, Federally qualified health center04D0889073
- Countryside Assisted LivingCertificate of Waiver, Assisted living facility04D2195171
- Harps Pharmacy #133Certificate of Waiver, Pharmacy04D2319083
- Huntsville Medical Clinic LLCCertificate of Compliance, Physician office04D1068190
- Madison County EMSCertificate of Waiver, Ambulance04D2050372
- Meadowview Healthcare & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility04D0900685
- Precious Miracles MidwiferyCertificate of Waiver, Other practitioner04D2102586
- TK Health Clinic Madison County JailCertificate of Waiver, Prison04D2339976
Related
Questions
What is the CLIA number for Hull Dermatology in Huntsville?
04D2164159, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hull Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D2164159 expire?
The CMS file lists March 2, 2028 as the certificate expiration date; the certificate took effect March 3, 2026.