CLIA lab
CLIA 04D2300449: Broadhurst Street Medical Clinic
Siloam Springs, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2300449 belongs to Broadhurst Street Medical Clinic in Siloam Springs, AR.
Certificate of Waiver, effective March 11, 2026, expires March 10, 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
- March 11, 2026
- Certificate expiration
- March 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 11, 2024
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2300449
- Lab name
- Broadhurst Street Medical Clinic
- Address
- 100 Broadhurst St, Siloam Springs, AR 72761
- Phone
- (479) 427-7006
- Fax
- (479) 524-3090
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.
Affiliated CLIA numbers
Other labs in Siloam Springs, AR
- Cobb-Vantress, Inc - Siloam Springs, ArCertificate of Waiver, Other04D2162275
- Dialysis Center of Siloam SpringsCertificate of Waiver, End stage renal disease dialysis facility04D1062384
- Fast Pace Health Mississippi PLLCCertificate of Waiver, Physician office04D2311350
- Harps Pharmacy #113Certificate of Waiver, Pharmacy04D2319082
- Join Parachute - Siloam SpringsCertificate of Accreditation, Other04D2305797
- New Beginnings Pregnancy Services, IncCertificate of Waiver, Skilled nursing or nursing facility04D1082507
- Ozark Dermatology Clinic Siloam SpringsCertificate for Provider-Performed Microscopy Procedures, Physician office04D2131806
- Premier Family Health CareCertificate of Waiver, Other04D2305953
- Roberts-Philpott Eye AssociatesCertificate of Waiver, Physician office04D2060845
- Sager Creek Pediatrics ClinicCertificate of Compliance, Federally qualified health center04D2299349
Related
Questions
What is the CLIA number for Broadhurst Street Medical Clinic in Siloam Springs?
04D2300449, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Broadhurst Street Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2300449 expire?
The CMS file lists March 10, 2028 as the certificate expiration date; the certificate took effect March 11, 2026.