CLIA lab
CLIA 04D2172595: Arkansas Dermatology
Little Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2172595 belongs to Arkansas Dermatology in Little Rock, AR.
Certificate of Compliance, effective September 24, 2024, expiration date September 23, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- September 24, 2024
- Certificate expiration
- September 23, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 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
- 04D2172595
- Lab name
- Arkansas Dermatology
- Address
- 500 South University Avenue, Suite 708, Little Rock, AR 72205
- Phone
- (501) 221-2700
- Fax
- (501) 246-5323
Annual test volume the lab reported
- Other nonwaived tests
- 2,000
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 Arkansas Dermatology in Little Rock?
04D2172595, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arkansas Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D2172595 expire?
The CMS file lists September 23, 2026 as the certificate expiration date; the certificate took effect September 24, 2024.