CLIA lab

CLIA 04D2223423: Doc Network - Nucor Yamato Stell Clinic, the

Blytheville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2223423 belongs to Doc Network - Nucor Yamato Stell Clinic, the in Blytheville, AR.

Certificate of Waiver, effective May 6, 2025, expires May 5, 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
May 6, 2025
Certificate expiration
May 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 6, 2021
Facility type
Physician office
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
04D2223423
Lab name
Doc Network - Nucor Yamato Stell Clinic, the
Address
5929 East State Highway 18, Blytheville, AR 72315
Phone
(312) 218-5288
Fax
(870) 762-0789

Annual test volume the lab reported

Waived tests
475

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Blytheville, AR

Related

Questions

What is the CLIA number for Doc Network - Nucor Yamato Stell Clinic, the in Blytheville?

04D2223423, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Doc Network - Nucor Yamato Stell Clinic, the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2223423 expire?

The CMS file lists May 5, 2027 as the certificate expiration date; the certificate took effect May 6, 2025.

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