CLIA lab

CLIA 04D2165967: Mitchell Family Medicine, LLC

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

CLIA number 04D2165967 belongs to Mitchell Family Medicine, LLC in Marion, AR.

Certificate of Compliance, effective November 13, 2024, expires November 12, 2026.

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
November 13, 2024
Certificate expiration
November 12, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
May 8, 2019
Facility type
Physician office
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
04D2165967
Lab name
Mitchell Family Medicine, LLC
Address
924 State Hwy 77, Marion, AR 72364
Phone
(870) 739-8670
Fax
(870) 739-8706

Annual test volume the lab reported

Waived tests
1,000
Other nonwaived tests
3,000
Total
4,000

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

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Related

Questions

What is the CLIA number for Mitchell Family Medicine, LLC in Marion?

04D2165967, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mitchell Family Medicine, LLC hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 04D2165967 expire?

The CMS file lists November 12, 2026 as the certificate expiration date; the certificate took effect November 13, 2024.

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