CLIA lab
CLIA 04D2190839: Hometown Family Medical Clinic
Palestine, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2190839 belongs to Hometown Family Medical Clinic in Palestine, AR.
Certificate of Waiver, effective August 19, 2026, expires August 18, 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
- August 19, 2026
- Certificate expiration
- August 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 19, 2020
- Facility type
- Other practitioner
- 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
- 04D2190839
- Lab name
- Hometown Family Medical Clinic
- Address
- 411 Main St, Palestine, AR 72372
- Phone
- (870) 270-6935
- Fax
- (949) 655-7844
Annual test volume the lab reported
- Waived tests
- 1,301
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Hometown Family Medical Clinic in Palestine?
04D2190839, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hometown Family Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2190839 expire?
The CMS file lists August 18, 2028 as the certificate expiration date; the certificate took effect August 19, 2026.