CLIA lab
CLIA 04D2283762: Pinnacle Surgery Center
Rogers, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2283762 belongs to Pinnacle Surgery Center in Rogers, AR.
Certificate of Waiver, effective June 13, 2025, expires June 12, 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
- June 13, 2025
- Certificate expiration
- June 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 13, 2023
- 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
- 04D2283762
- Lab name
- Pinnacle Surgery Center
- Address
- 3721 S Champions Drive, Rogers, AR 72758
- Phone
- (720) 412-2483
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Dermatology and Skin Cancer CenterCertificate of Compliance, Physician office04D2287758
- Advanced Wound Therapy - Ar LLCCertificate of Waiver, Physician office04D2324551
- Arkansas Children's Northwest-ClinicCertificate of Waiver, Physician office04D2261955
- Ashley Health and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility04D1068896
- Blossoms at Rogers, theCertificate of Waiver, Skilled nursing or nursing facility04D0678828
- Boozman Hof Regional Eye ClinicCertificate of Waiver, Physician office04D0911561
- Boozman-Hof Eye Surgery & Laser CenterCertificate of Waiver, Ambulatory surgery center04D0911562
- CVS Pharmacy 10816Certificate of Waiver, Pharmacy04D2255925
Related
Questions
What is the CLIA number for Pinnacle Surgery Center in Rogers?
04D2283762, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pinnacle Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2283762 expire?
The CMS file lists June 12, 2027 as the certificate expiration date; the certificate took effect June 13, 2025.