CLIA lab

CLIA 04D2173434: Jonesboro Ambulatory Surgery Center

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

CLIA number 04D2173434 belongs to Jonesboro Ambulatory Surgery Center in Jonesboro, AR.

Certificate of Waiver, effective October 14, 2025, expires October 13, 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 14, 2025
Certificate expiration
October 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 14, 2019
Facility type
Ambulatory surgery center
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
04D2173434
Lab name
Jonesboro Ambulatory Surgery Center
Address
1710 Mayfield Dr, Jonesboro, AR 72401
Phone
(504) 554-1273
Fax
(888) 630-8885

Annual test volume the lab reported

Waived tests
300

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

Other labs in Jonesboro, AR

Related

Questions

What is the CLIA number for Jonesboro Ambulatory Surgery Center in Jonesboro?

04D2173434, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jonesboro Ambulatory Surgery Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2173434 expire?

The CMS file lists October 13, 2027 as the certificate expiration date; the certificate took effect October 14, 2025.

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