CLIA lab
CLIA 04D2172054: Lavaca Wellness Center
Lavaca, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2172054 belongs to Lavaca Wellness Center in Lavaca, AR.
Certificate for Provider-Performed Microscopy Procedures, effective September 13, 2025, expires September 12, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 13, 2025
- Certificate expiration
- September 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 2019
- Facility type
- Federally qualified health center
- Ownership (control type)
- Government, other
- 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
- 04D2172054
- Lab name
- Lavaca Wellness Center
- Address
- 603 S Division St, Lavaca, AR 72941
- Phone
- (479) 279-7700
- Fax
- (479) 279-7701
Annual test volume the lab reported
- Waived tests
- 2,000
- Provider-performed microscopy tests
- 10
- Total
- 2,010
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lavaca, AR
Related
Questions
What is the CLIA number for Lavaca Wellness Center in Lavaca?
04D2172054, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lavaca Wellness Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2172054 expire?
The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.