CLIA lab
CLIA 04D2199117: Arkansas State University Sports
State University, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2199117 belongs to Arkansas State University Sports in State University, AR.
Certificate of Waiver, effective November 5, 2024, expires November 4, 2026.
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
- November 5, 2024
- Certificate expiration
- November 4, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 5, 2020
- Facility type
- School or student health service
- Ownership (control type)
- Private
- 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
- 04D2199117
- Lab name
- Arkansas State University Sports
- Additional name
- Medicine Athletic Training
- Address
- 2740 A Street Building 408, State University, AR 72467
- Phone
- (870) 972-3342
- Fax
- (870) 972-2052
Annual test volume the lab reported
- Waived tests
- 2,500
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 Arkansas State University Sports in State University?
04D2199117, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arkansas State University Sports hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2199117 expire?
The CMS file lists November 4, 2026 as the certificate expiration date; the certificate took effect November 5, 2024.