CLIA lab

CLIA 04D2290500: Access Medical Clinic Arkansas LTC LLC

Malvern, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2290500 belongs to Access Medical Clinic Arkansas LTC LLC in Malvern, AR.

Certificate of Waiver, effective September 26, 2025, expires September 25, 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 26, 2025
Certificate expiration
September 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 26, 2023
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
14

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
04D2290500
Lab name
Access Medical Clinic Arkansas LTC LLC
Address
1308 E Page Ave, Malvern, AR 72104
Phone
(870) 856-1202
Fax
(870) 856-2107

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.

Affiliated CLIA numbers

Other labs in Malvern, AR

Related

Questions

What is the CLIA number for Access Medical Clinic Arkansas LTC LLC in Malvern?

04D2290500, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Access Medical Clinic Arkansas LTC LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2290500 expire?

The CMS file lists September 25, 2027 as the certificate expiration date; the certificate took effect September 26, 2025.

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