CLIA lab
CLIA 04D2275776: Children's Advocacy Center of Southeast Arkansas
Pine Bluff, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2275776 belongs to Children's Advocacy Center of Southeast Arkansas in Pine Bluff, AR.
Certificate of Waiver, effective January 27, 2025, expires January 26, 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 Waiver
- Certificate effective
- January 27, 2025
- Certificate expiration
- January 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 27, 2023
- Facility type
- Other
- Ownership (control type)
- Other
- 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
- 04D2275776
- Lab name
- Children's Advocacy Center of Southeast Arkansas
- Address
- 211 W 3rd Ave, Suite 130, Pine Bluff, AR 71601
- Phone
- (870) 850-7105
- Fax
- (870) 850-7658
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.
Other labs in Pine Bluff, AR
- Ach Pine Bluff ClinicCertificate of Waiver, Physician office04D0465263
- Arcare 140Certificate of Waiver, Federally qualified health center04D2349439
- Arcare 155Certificate of Waiver, Federally qualified health center04D2325162
- Archwell Health - Pine BluffCertificate of Waiver, Physician office04D2315883
- Arkansas Dept of Correction Health SVCCertificate of Waiver, Other02D0682823
- Autonomy Healthcare ProvidersCertificate of Waiver, Physician office04D2271274
- Buckhanan RecoveryCertificate of Waiver, Other04D2299468
- Cavhs Pine BluffCertificate of Accreditation, Community clinic04D2185025
- Central Arkansas Radiation Therapy InstituteCertificate of Accreditation, Physician office04D2194416
- Cross Hope By RestauraCertificate of Waiver, Other04D2310595
Related
Questions
What is the CLIA number for Children's Advocacy Center of Southeast Arkansas in Pine Bluff?
04D2275776, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Children's Advocacy Center of Southeast Arkansas hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2275776 expire?
The CMS file lists January 26, 2027 as the certificate expiration date; the certificate took effect January 27, 2025.