CLIA lab
CLIA 04D2173164: Arcare 031 Pangburn Medical
Pangburn, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2173164 belongs to Arcare 031 Pangburn Medical in Pangburn, AR.
Certificate of Waiver, effective October 7, 2025, expires October 6, 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 of Waiver
- Certificate effective
- October 7, 2025
- Certificate expiration
- October 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 2019
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- 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
- 04D2173164
- Lab name
- Arcare 031 Pangburn Medical
- Address
- 304 W Main, Pangburn, AR 72121
- Phone
- (870) 919-6696
- Fax
- (870) 336-1679
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Arcare 031 Pangburn Medical in Pangburn?
04D2173164, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arcare 031 Pangburn Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2173164 expire?
The CMS file lists October 6, 2027 as the certificate expiration date; the certificate took effect October 7, 2025.