CLIA lab
CLIA 04D2184679: Conway Ambulatory Surgery Center
Conway, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2184679 belongs to Conway Ambulatory Surgery Center in Conway, AR.
Certificate of Waiver, effective May 22, 2026, expires May 21, 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
- May 22, 2026
- Certificate expiration
- May 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 22, 2020
- 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
- 04D2184679
- Lab name
- Conway Ambulatory Surgery Center
- Address
- 2425 Dave Ward Dr, Conway, AR 72034
- Phone
- (501) 499-6951
- 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.
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- Amy R Hudson, MDCertificate of Compliance, Other04D2063453
- Arcare 24Certificate of Waiver, Federally qualified health center04D2034996
- Aristotle Diagnostic Laboratories LLCCertificate of Accreditation, Independent04D2253867
- Arkansas DermatologyCertificate of Compliance, Physician office04D2028520
- Arkansas Heart Hospital Clinic - ConwayCertificate of Waiver, Physician office04D2090186
- Arkansas Pediatrics of ConwayCertificate of Compliance, Physician office04D0913091
- Arkansas Urology - ConwayCertificate for Provider-Performed Microscopy Procedures, Physician office04D2140908
- Aveon Renal Care, LLCCertificate of Waiver, End stage renal disease dialysis facility04D2338583
Related
Questions
What is the CLIA number for Conway Ambulatory Surgery Center in Conway?
04D2184679, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Conway Ambulatory Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2184679 expire?
The CMS file lists May 21, 2028 as the certificate expiration date; the certificate took effect May 22, 2026.