CLIA lab
CLIA 04D2292302: Dynamic Med
Magnolia, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2292302 belongs to Dynamic Med in Magnolia, AR.
Certificate of Waiver, effective October 24, 2025, expires October 23, 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
- October 24, 2025
- Certificate expiration
- October 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 24, 2023
- Facility type
- Other practitioner
- 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
- 04D2292302
- Lab name
- Dynamic Med
- Address
- 1010 North Dudney, Suite C, Magnolia, AR 71753
- Phone
- (870) 234-2675
Annual test volume the lab reported
- Waived tests
- 60
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Magnolia, AR
- Baptist Health Family Clinic - MagnoliaCertificate of Waiver, Rural health clinic04D2163725
- Baptist Health Medical Center MagnoliaCertificate of Compliance, Hospital04D0465641
- Beautiful You Magnolia Medical Aesthetics LLCCertificate of Waiver, Other04D2322712
- Chester M Wynn MD PACertificate for Provider-Performed Microscopy Procedures, Physician office04D0880610
- Columbia County Ambulance ServiceCertificate of Waiver, Ambulance04D2198232
- Enhabit HospiceCertificate of Waiver, Hospice04D2119422
- Family Chiropractic CenterCertificate of Waiver, Physician office04D2155022
- Greenhouse Cottages of WentworthCertificate of Waiver, Skilled nursing or nursing facility04D2035914
- Hydroboost Drip and Wellness, LLCCertificate of Waiver, Other04D2343644
- James Chambliss MD PLLC PACertificate for Provider-Performed Microscopy Procedures, Physician office04D1087008
Related
Questions
What is the CLIA number for Dynamic Med in Magnolia?
04D2292302, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dynamic Med hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2292302 expire?
The CMS file lists October 23, 2027 as the certificate expiration date; the certificate took effect October 24, 2025.