CLIA lab
CLIA 04D2204663: Anna Katherine Ross MSN Apn P A
Bryant, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2204663 belongs to Anna Katherine Ross MSN Apn P A in Bryant, AR.
Certificate of Waiver, effective December 10, 2024, expires December 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 10, 2024
- Certificate expiration
- December 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 10, 2020
- Facility type
- Community clinic
- 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
- 04D2204663
- Lab name
- Anna Katherine Ross MSN Apn P A
- Additional name
- DBA Hometown Family
- Address
- 2405 Highway 5 N Ste 100, Bryant, AR 72019
- Phone
- (501) 303-8289
- Fax
- (501) 621-1233
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bryant, AR
- Ames Direct Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office04D2248564
- Arcare 76Certificate of Waiver, Federally qualified health center04D2283745
- Arkansas Heart Hospital Clinic - SalineCertificate of Waiver, Physician office04D2039283
- Arkansas Heart Hospital Llc-EncoreCertificate of Compliance, Hospital04D2196275
- Arkansas Pediatric ClinicCertificate of Waiver, Physician office04D2107564
- Baptist Health Family Clinic BryantCertificate of Compliance, Physician office04D0466177
- Baptist Health Urgent Care-Bryant, ArCertificate of Waiver, Physician office04D2105408
- Bryant Eyecare ClinicCertificate of Waiver, Physician office04D1098523
- Bryant Family Clinic PACertificate for Provider-Performed Microscopy Procedures, Physician office04D0891906
- Bryant Family PharmacyCertificate of Waiver, Pharmacy04D2134510
Related
Questions
What is the CLIA number for Anna Katherine Ross MSN Apn P A in Bryant?
04D2204663, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Anna Katherine Ross MSN Apn P A hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2204663 expire?
The CMS file lists December 9, 2026 as the certificate expiration date; the certificate took effect December 10, 2024.