CLIA lab
CLIA 04D2196775: Vascular and Vein Institute of the South
West Memphis, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2196775 belongs to Vascular and Vein Institute of the South in West Memphis, AR.
Certificate of Accreditation, effective June 30, 2025, expires June 29, 2027.
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 Accreditation
- Certificate effective
- June 30, 2025
- Certificate expiration
- June 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 2020
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- COLA
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2196775
- Lab name
- Vascular and Vein Institute of the South
- Address
- 306 South Rhodes Street, West Memphis, AR 72301
- Phone
- (901) 390-2930
- Fax
- (901) 290-2940
Annual test volume the lab reported
- Waived tests
- 4,800
- Tests under accreditation
- 4,800
- Total
- 9,600
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 Vascular and Vein Institute of the South in West Memphis?
04D2196775, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vascular and Vein Institute of the South hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 04D2196775 expire?
The CMS file lists June 29, 2027 as the certificate expiration date; the certificate took effect June 30, 2025.