CLIA lab

CLIA 04D2255950: Cardiology Associates of N Central Ark

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

CLIA number 04D2255950 belongs to Cardiology Associates of N Central Ark in Russellville, AR.

Certificate of Waiver, effective March 18, 2026, expires March 17, 2028.

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
March 18, 2026
Certificate expiration
March 17, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 18, 2022
Facility type
Comprehensive outpatient rehab facility
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
04D2255950
Lab name
Cardiology Associates of N Central Ark
Additional name
ST Mary's Physician Services LLC
Address
2205 West Main, Russellville, AR 72801
Phone
(479) 968-4311
Fax
(479) 968-4399

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.

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Related

Questions

What is the CLIA number for Cardiology Associates of N Central Ark in Russellville?

04D2255950, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cardiology Associates of N Central Ark hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2255950 expire?

The CMS file lists March 17, 2028 as the certificate expiration date; the certificate took effect March 18, 2026.

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