CLIA lab
CLIA 04D2181959: Premise Health of Arkansas Medical, P A
Gentry, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2181959 belongs to Premise Health of Arkansas Medical, P A in Gentry, AR.
Certificate of Waiver, effective April 14, 2026, expires April 13, 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
- April 14, 2026
- Certificate expiration
- April 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 14, 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
- 04D2181959
- Lab name
- Premise Health of Arkansas Medical, P A
- Address
- 555 Mckee Dr, Gentry, AR 72734
- Phone
- (479) 326-8670
- Fax
- (479) 736-3855
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.
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Related
Questions
What is the CLIA number for Premise Health of Arkansas Medical, P A in Gentry?
04D2181959, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Arkansas Medical, P A hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2181959 expire?
The CMS file lists April 13, 2028 as the certificate expiration date; the certificate took effect April 14, 2026.