CLIA lab

CLIA 04D2266573: Hci Russellville Clinic

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

CLIA number 04D2266573 belongs to Hci Russellville Clinic in Russellville, AR.

Certificate of Waiver, effective August 12, 2026, expires August 11, 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
August 12, 2026
Certificate expiration
August 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 12, 2022
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
04D2266573
Lab name
Hci Russellville Clinic
Address
3312 W Main St, Russellville, AR 72801
Phone
(888) 710-8220
Fax
(479) 243-0285

Annual test volume the lab reported

Waived tests
1,000

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

Other labs in Russellville, AR

Related

Questions

What is the CLIA number for Hci Russellville Clinic in Russellville?

04D2266573, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hci Russellville Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2266573 expire?

The CMS file lists August 11, 2028 as the certificate expiration date; the certificate took effect August 12, 2026.

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