CLIA lab
CLIA 04D2186973: Ozark Dermatology
Lowell, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2186973 belongs to Ozark Dermatology in Lowell, AR.
Certificate for Provider-Performed Microscopy Procedures, effective June 24, 2026, expires June 23, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 24, 2026
- Certificate expiration
- June 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 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
- 04D2186973
- Lab name
- Ozark Dermatology
- Address
- 117 S Dixieland Road, Lowell, AR 72745
- Phone
- (479) 443-5100
- Fax
- (479) 443-5117
Annual test volume the lab reported
- Waived tests
- 50
- Provider-performed microscopy tests
- 50
- Total
- 100
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 Ozark Dermatology in Lowell?
04D2186973, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ozark Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2186973 expire?
The CMS file lists June 23, 2028 as the certificate expiration date; the certificate took effect June 24, 2026.