CLIA lab

CLIA 04D2227037: Cache River Medical Clinic

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

CLIA number 04D2227037 belongs to Cache River Medical Clinic in Mccrory, AR.

Certificate of Waiver, effective June 7, 2025, expires June 6, 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
June 7, 2025
Certificate expiration
June 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 7, 2021
Facility type
Physician office
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
04D2227037
Lab name
Cache River Medical Clinic
Address
115 W Kimberly Drive, Mccrory, AR 72101
Phone
(870) 731-0640
Fax
(870) 731-0640

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.

Other labs in Mccrory, AR

Related

Questions

What is the CLIA number for Cache River Medical Clinic in Mccrory?

04D2227037, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cache River Medical Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2227037 expire?

The CMS file lists June 6, 2027 as the certificate expiration date; the certificate took effect June 7, 2025.

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