CLIA lab

CLIA 04D2296434: Brick City Health and Wellness

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

CLIA number 04D2296434 belongs to Brick City Health and Wellness in Malvern, AR.

Certificate of Waiver, effective December 28, 2025, expires December 27, 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
December 28, 2025
Certificate expiration
December 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 28, 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
04D2296434
Lab name
Brick City Health and Wellness
Address
1604 Mlk Blvd, Malvern, AR 72104
Phone
(501) 732-5400
Fax
(501) 325-9650

Annual test volume the lab reported

Waived tests
1,500

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 Brick City Health and Wellness in Malvern?

04D2296434, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brick City Health and Wellness hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2296434 expire?

The CMS file lists December 27, 2027 as the certificate expiration date; the certificate took effect December 28, 2025.

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