CLIA lab
CLIA 04D2166077: Hull Dermatology
Bella Vista, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2166077 belongs to Hull Dermatology in Bella Vista, AR.
Certificate of Compliance, effective March 19, 2026, expires March 18, 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 19, 2026
- Certificate expiration
- March 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 10, 2019
- Facility type
- Physician office
- 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
- 04D2166077
- Lab name
- Hull Dermatology
- Address
- 9521 Sunset Dr, Bella Vista, AR 72715
- Phone
- (479) 254-9662
- Fax
- (479) 254-9652
Annual test volume the lab reported
- Waived tests
- 170
- Provider-performed microscopy tests
- 116
- Other nonwaived tests
- 2,049
- Total
- 2,335
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Bella Vista, AR
- City of Bella Vista Ambulance ServiceCertificate of Waiver, Other04D0937397
- Concordia Nursing and RehabCertificate of Waiver, Other04D0468721
- Highlands of Bella Vista Health and RehabCertificate of Waiver, Skilled nursing or nursing facility04D1025411
- Mercy Bella VistaCertificate of Compliance, Hospital04D2070630
- Mercy Bella Vista ClinicCertificate of Waiver, Physician office04D2068871
- Mercy Clinic CardiologyCertificate of Waiver, Physician office04D0724198
- True Dermatology PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office04D2104614
- Walgreens #09593Certificate of Waiver, Pharmacy04D2239760
Related
Questions
What is the CLIA number for Hull Dermatology in Bella Vista?
04D2166077, 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 04D2166077 expire?
The CMS file lists March 18, 2028 as the certificate expiration date; the certificate took effect March 19, 2026.