CLIA lab
CLIA 04D2289063: Green Bay Packaging Health and Wellness CTR
Morrilton, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2289063 belongs to Green Bay Packaging Health and Wellness CTR in Morrilton, AR.
Certificate of Waiver, effective September 5, 2025, expires September 4, 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
- September 5, 2025
- Certificate expiration
- September 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 5, 2023
- Facility type
- Other
- 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
- 04D2289063
- Lab name
- Green Bay Packaging Health and Wellness CTR
- Address
- 116 N Moose Street, Morrilton, AR 72110
- Phone
- (802) 857-0400
- Fax
- (802) 857-0498
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Conway Regional Renaissance Women's ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office04D2193110
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- Morrilton Kwik KareCertificate of Waiver, Physician office04D2284134
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Related
Questions
What is the CLIA number for Green Bay Packaging Health and Wellness CTR in Morrilton?
04D2289063, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Green Bay Packaging Health and Wellness CTR hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2289063 expire?
The CMS file lists September 4, 2027 as the certificate expiration date; the certificate took effect September 5, 2025.