CLIA lab
CLIA 04D2320594: Prestige Direct Care and Wellness, PLLC
Vilonia, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2320594 belongs to Prestige Direct Care and Wellness, PLLC in Vilonia, AR.
Certificate of Waiver, effective March 20, 2025, expires March 19, 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
- March 20, 2025
- Certificate expiration
- March 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 20, 2025
- Facility type
- Other
- 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
- 04D2320594
- Lab name
- Prestige Direct Care and Wellness, PLLC
- Address
- 1122 Main St Ste 12, Vilonia, AR 72173
- Phone
- (501) 213-0276
- Fax
- (877) 349-0265
Annual test volume the lab reported
- Waived tests
- 50
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 Prestige Direct Care and Wellness, PLLC in Vilonia?
04D2320594, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prestige Direct Care and Wellness, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2320594 expire?
The CMS file lists March 19, 2027 as the certificate expiration date; the certificate took effect March 20, 2025.