CLIA lab
CLIA 04D2270158: City of Russellville
Russellville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2270158 belongs to City of Russellville in Russellville, AR.
Certificate of Waiver, effective October 11, 2024, expiration date October 10, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 11, 2024
- Certificate expiration
- October 10, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 11, 2022
- Facility type
- Ambulance
- Ownership (control type)
- Government, city
- 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
- 04D2270158
- Lab name
- City of Russellville
- Address
- 107 N El Paso Avenue, Russellville, AR 72801
- Phone
- (479) 968-2332
- Fax
- (479) 967-2087
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
- Ar Heart Hospital Rural Health Svcs - RussellvilleCertificate of Waiver, Physician office04D1096786
- Arcare 92Certificate of Waiver, Federally qualified health center04D2308343
- Arcare 98Certificate of Waiver, Federally qualified health center04D2329669
- Arkansas DermatologyCertificate of Compliance, Physician office04D2178013
- Arkansas Dermatology CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D0949890
- Arkansas Occupational Health Clinic - RussellvilleCertificate of Waiver, Physician office04D2119425
- Arkansas Renal Group, PA - RussellvilleCertificate of Waiver, Physician office04D2112078
- Arkansas Tech University Health & Wellness CenterCertificate for Provider-Performed Microscopy Procedures, School or student health service04D0909870
- Arkansas Urology/RussellvilleCertificate for Provider-Performed Microscopy Procedures, Physician office04D1100397
- BPC Plasma, IncCertificate of Accreditation, Independent04D2162256
Related
Questions
What is the CLIA number for City of Russellville in Russellville?
04D2270158, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does City of Russellville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2270158 expire?
The CMS file lists October 10, 2026 as the certificate expiration date; the certificate took effect October 11, 2024.