CLIA lab
CLIA 04D2317123: Pafford Medical Services - Mrvsp
Blytheville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2317123 belongs to Pafford Medical Services - Mrvsp in Blytheville, AR.
Certificate of Waiver, effective January 17, 2025, expires January 16, 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
- January 17, 2025
- Certificate expiration
- January 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 17, 2025
- Facility type
- Industrial
- 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
- 04D2317123
- Lab name
- Pafford Medical Services - Mrvsp
- Address
- 5001 North County Road 967, Blytheville, AR 72315
- Phone
- (870) 777-7660
- Fax
- (267) 350-6474
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Doc Network - Nucor Yamato Stell Clinic, theCertificate of Waiver, Physician office04D2223423
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- Family Medicine Assoc of BlythevilleCertificate of Compliance, Physician office04D0467710
Related
Questions
What is the CLIA number for Pafford Medical Services - Mrvsp in Blytheville?
04D2317123, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pafford Medical Services - Mrvsp hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2317123 expire?
The CMS file lists January 16, 2027 as the certificate expiration date; the certificate took effect January 17, 2025.