CLIA lab
CLIA 04D2180636: East Arkansas Medical Group Surgical
West Memphis, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2180636 belongs to East Arkansas Medical Group Surgical in West Memphis, AR.
Certificate of Waiver, effective March 18, 2026, expires March 17, 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 Waiver
- Certificate effective
- March 18, 2026
- Certificate expiration
- March 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 2020
- 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
- 04D2180636
- Lab name
- East Arkansas Medical Group Surgical
- Address
- 210 South Rhodes Street, West Memphis, AR 72301
- Phone
- (870) 261-0151
- Fax
- (870) 261-0127
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- B M A East ArkansasCertificate of Waiver, End stage renal disease dialysis facility04D0859775
- Baptist Memorial Hospital - CrittendenCertificate of Accreditation, Hospital04D2156984
- Behavioral Health WM Operating Subsidiary LLCCertificate of Waiver, Other04D2343577
- Coast To Coast MedicalCertificate of Waiver, Community clinic04D0958040
- Diabetes Care & WellnessCertificate of Waiver, Other practitioner04D2254924
- Diffine Family PracticeCertificate of Waiver, Physician office04D2270114
- East Arkansas Family Health Center SouthCertificate of Waiver, Community clinic04D2281782
- East Arkansas Family Health Center- West MemphisCertificate of Waiver, Other04D0467668
Related
Questions
What is the CLIA number for East Arkansas Medical Group Surgical in West Memphis?
04D2180636, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does East Arkansas Medical Group Surgical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2180636 expire?
The CMS file lists March 17, 2028 as the certificate expiration date; the certificate took effect March 18, 2026.