CLIA lab
CLIA 04D2293357: Hickory Grove Recovery
Morrilton, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2293357 belongs to Hickory Grove Recovery in Morrilton, AR.
Certificate of Waiver, effective November 7, 2025, expires November 6, 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
- November 7, 2025
- Certificate expiration
- November 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 7, 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
- 04D2293357
- Lab name
- Hickory Grove Recovery
- Address
- 12 Hospital Drive, Morrilton, AR 72110
- Phone
- (501) 289-9315
- Fax
- (833) 740-4108
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.
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Related
Questions
What is the CLIA number for Hickory Grove Recovery in Morrilton?
04D2293357, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hickory Grove Recovery hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2293357 expire?
The CMS file lists November 6, 2027 as the certificate expiration date; the certificate took effect November 7, 2025.