CLIA lab

CLIA 04D2301302: De Queen Family Medical Associates PLLC

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

CLIA number 04D2301302 belongs to De Queen Family Medical Associates PLLC in De Queen, AR.

Certificate of Waiver, effective March 25, 2026, expires March 24, 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 25, 2026
Certificate expiration
March 24, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 25, 2024
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
04D2301302
Lab name
De Queen Family Medical Associates PLLC
Address
500 East Collin Raye Drive, De Queen, AR 71832
Phone
(870) 584-3627
Fax
(870) 280-2899

Annual test volume the lab reported

Waived tests
25,000

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

Other labs in De Queen, AR

Related

Questions

What is the CLIA number for De Queen Family Medical Associates PLLC in De Queen?

04D2301302, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does De Queen Family Medical Associates PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2301302 expire?

The CMS file lists March 24, 2028 as the certificate expiration date; the certificate took effect March 25, 2026.

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