CLIA lab
CLIA 04D2213909: River Valley Medical Wellness LLC
Russellville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2213909 belongs to River Valley Medical Wellness LLC in Russellville, AR.
Certificate of Waiver, effective February 17, 2025, expires February 16, 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 Waiver
- Certificate effective
- February 17, 2025
- Certificate expiration
- February 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 17, 2021
- Facility type
- Mobile lab
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2213909
- Lab name
- River Valley Medical Wellness LLC
- Address
- 2600 West Main Street, Russellville, AR 72801
- Phone
- (833) 479-4325
- Fax
- (479) 207-9191
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Russellville, AR
- Ar Heart Hospital Rural Health Svcs - RussellvilleCertificate of Waiver, Physician office04D1096786
- Arcare 92Certificate of Waiver, Federally qualified health center04D2308343
- Arcare 98Certificate of Waiver, Federally qualified health center04D2329669
- Arkansas DermatologyCertificate of Compliance, Physician office04D2178013
- Arkansas Dermatology CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D0949890
- Arkansas Occupational Health Clinic - RussellvilleCertificate of Waiver, Physician office04D2119425
- Arkansas Renal Group, PA - RussellvilleCertificate of Waiver, Physician office04D2112078
- Arkansas Tech University Health & Wellness CenterCertificate for Provider-Performed Microscopy Procedures, School or student health service04D0909870
- Arkansas Urology/RussellvilleCertificate for Provider-Performed Microscopy Procedures, Physician office04D1100397
- BPC Plasma, IncCertificate of Accreditation, Independent04D2162256
Related
Questions
What is the CLIA number for River Valley Medical Wellness LLC in Russellville?
04D2213909, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does River Valley Medical Wellness LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2213909 expire?
The CMS file lists February 16, 2027 as the certificate expiration date; the certificate took effect February 17, 2025.