CLIA lab
CLIA 04D2199772: Dierksen Memorial Hospice
Texarkana, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2199772 belongs to Dierksen Memorial Hospice in Texarkana, AR.
Certificate of Waiver, effective November 10, 2024, expires November 9, 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 10, 2024
- Certificate expiration
- November 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 10, 2020
- Facility type
- Hospice
- 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
- 04D2199772
- Lab name
- Dierksen Memorial Hospice
- Address
- 4613 Parkway Dr, Suite 20, Texarkana, AR 71854
- Phone
- (870) 773-4353
- Fax
- (870) 773-4418
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Centerwell Home HealthCertificate of Waiver, Home health agency04D2116863
- Collom & Carney Family Practice & Senior Care of ACertificate of Waiver, Physician office04D2062950
- Cottages at Texarkana, theCertificate of Waiver, Skilled nursing or nursing facility04D1081946
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Related
Questions
What is the CLIA number for Dierksen Memorial Hospice in Texarkana?
04D2199772, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dierksen Memorial Hospice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2199772 expire?
The CMS file lists November 9, 2026 as the certificate expiration date; the certificate took effect November 10, 2024.