CLIA lab

CLIA 04D2298853: Mira at Maumelle

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

CLIA number 04D2298853 belongs to Mira at Maumelle in Maumelle, AR.

Certificate of Waiver, effective February 9, 2026, expires February 8, 2028.

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
February 9, 2026
Certificate expiration
February 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 9, 2024
Facility type
Assisted living facility
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
04D2298853
Lab name
Mira at Maumelle
Address
925 Country Club Parkway, Maumelle, AR 72113
Phone
(501) 387-7244

Annual test volume the lab reported

Waived tests
1,225

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Maumelle, AR

Related

Questions

What is the CLIA number for Mira at Maumelle in Maumelle?

04D2298853, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mira at Maumelle hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2298853 expire?

The CMS file lists February 8, 2028 as the certificate expiration date; the certificate took effect February 9, 2026.

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