CLIA lab
CLIA 04D2222770: Ar Childrens Chicot School Based Clinic
Mabelvale, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2222770 belongs to Ar Childrens Chicot School Based Clinic in Mabelvale, AR.
Certificate of Waiver, effective April 30, 2025, expires April 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 Waiver
- Certificate effective
- April 30, 2025
- Certificate expiration
- April 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 2021
- Facility type
- Community clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2222770
- Lab name
- Ar Childrens Chicot School Based Clinic
- Address
- 11102 Chicot Rd, Mabelvale, AR 72103
- Phone
- (501) 364-2066
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mabelvale, AR
Related
Questions
What is the CLIA number for Ar Childrens Chicot School Based Clinic in Mabelvale?
04D2222770, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ar Childrens Chicot School Based Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2222770 expire?
The CMS file lists April 29, 2027 as the certificate expiration date; the certificate took effect April 30, 2025.