CLIA lab
CLIA 04D2263770: Millard Henry Clinic of Dardanelle
Dardanelle, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2263770 belongs to Millard Henry Clinic of Dardanelle in Dardanelle, AR.
Certificate of Compliance, effective July 6, 2025, expires July 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 Compliance
- Certificate effective
- July 6, 2025
- Certificate expiration
- July 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 5, 2022
- Facility type
- Physician office
- 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
- 04D2263770
- Lab name
- Millard Henry Clinic of Dardanelle
- Additional name
- ST Mary's Physician Services LLC
- Address
- 1714 State Hwy 22 W, Dardanelle, AR 72834
- Phone
- (479) 477-3084
- Fax
- (479) 477-3085
Annual test volume the lab reported
- Waived tests
- 10
- Provider-performed microscopy tests
- 16
- Other nonwaived tests
- 181
- Total
- 207
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Dardanelle, AR
- Access Medical Clinic DardanelleCertificate of Waiver, Rural health clinic04D2122991
- Dardanelle Hospital LLCCertificate of Accreditation, Hospital04D0469061
- Dardanelle Nursing and Rehabilitation Center IncCertificate of Waiver, Skilled nursing or nursing facility04D0855871
- Dardanelle Regional Medical ClinicCertificate of Waiver, Community clinic04D2198146
- Kirkland Family Medical CenterCertificate of Waiver, Physician office04D1087015
- Rose Drug of DardanelleCertificate of Waiver, Pharmacy04D2269189
- Tyson Poultry, Inc - Dardanelle, ArCertificate of Waiver, Other04D2162318
- Walmart Pharmacy 10-0296Certificate of Waiver, Pharmacy04D2127846
Related
Questions
What is the CLIA number for Millard Henry Clinic of Dardanelle in Dardanelle?
04D2263770, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Millard Henry Clinic of Dardanelle hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D2263770 expire?
The CMS file lists July 5, 2027 as the certificate expiration date; the certificate took effect July 6, 2025.