CLIA lab
CLIA 04D2288072: Maumelle Family Medicine
Maumelle, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2288072 belongs to Maumelle Family Medicine in Maumelle, AR.
Certificate of Waiver, effective August 21, 2025, expires August 20, 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
- August 21, 2025
- Certificate expiration
- August 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 2023
- Facility type
- Physician office
- 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
- 04D2288072
- Lab name
- Maumelle Family Medicine
- Address
- 2001 Club Manor Dr Ste S, Maumelle, AR 72113
- Phone
- (501) 734-8085
- Fax
- (501) 734-8088
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Maumelle, AR
- Achor Family PharmacyCertificate of Waiver, Pharmacy04D2182537
- Baptist Health Family ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office04D0466687
- Baptist Health Urgent Care-MaumelleCertificate of Waiver, Physician office04D2069565
- Chi ST Vincent Primary Care MaumelleCertificate for Provider-Performed Microscopy Procedures, Physician office04D1062386
- Healthcare ExpressCertificate of Waiver, Other04D2086145
- Kimberly Clark Corporation (Maumelle)Certificate of Waiver, Other04D2157549
- Kroger Pharmacy #606Certificate of Waiver, Pharmacy04D1021881
- Lakes at Maumelle Health & Rehab, theCertificate of Waiver, Skilled nursing or nursing facility04D1061529
- Maumelle Medical Arcare 32Certificate of Waiver, Federally qualified health center04D2174110
- Mira at MaumelleCertificate of Waiver, Assisted living facility04D2298853
Related
Questions
What is the CLIA number for Maumelle Family Medicine in Maumelle?
04D2288072, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maumelle Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2288072 expire?
The CMS file lists August 20, 2027 as the certificate expiration date; the certificate took effect August 21, 2025.