CLIA lab
CLIA 04D2265061: Dollarway Ambulatory Surgery Center, LLC
White Hall, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2265061 belongs to Dollarway Ambulatory Surgery Center, LLC in White Hall, AR.
Certificate of Waiver, effective July 22, 2026, expires July 21, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 22, 2026
- Certificate expiration
- July 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 22, 2022
- Facility type
- Ambulatory surgery center
- 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
- 04D2265061
- Lab name
- Dollarway Ambulatory Surgery Center, LLC
- Address
- 7211 Dollarway Rd, White Hall, AR 71602
- Phone
- (501) 766-1065
- Fax
- (501) 239-2046
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in White Hall, AR
- Affinity HospiceCertificate of Waiver, Hospice04D2247946
- Affinity Palliative of ArkansasCertificate of Waiver, Other practitioner04D2331370
- Arcare 79Certificate of Waiver, Federally qualified health center04D2119440
- Arkansas Urology - White HallCertificate of Waiver, Physician office04D2272844
- Baptist Health Family Clinic White HallCertificate of Waiver, Physician office04D0906511
- Blossoms at White Hall, theCertificate of Waiver, Skilled nursing or nursing facility04D0994754
- Daily Dose Drugstore IncCertificate of Waiver, Pharmacy04D2246761
- Doctor's Orders Pharmacy 1Certificate of Waiver, Pharmacy04D2185049
- Endocrinology of South ArkansasCertificate of Waiver, Physician office04D0997860
- Family Medicine Walk-In ClinicCertificate of Waiver, Physician office04D2269105
Related
Questions
What is the CLIA number for Dollarway Ambulatory Surgery Center, LLC in White Hall?
04D2265061, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dollarway Ambulatory Surgery Center, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2265061 expire?
The CMS file lists July 21, 2028 as the certificate expiration date; the certificate took effect July 22, 2026.