CLIA lab
CLIA 04D2330105: Pinnacle Grove Senior Living
Rogers, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2330105 belongs to Pinnacle Grove Senior Living in Rogers, AR.
Certificate of Waiver, effective September 10, 2025, expires September 9, 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
- September 10, 2025
- Certificate expiration
- September 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 10, 2025
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2330105
- Lab name
- Pinnacle Grove Senior Living
- Address
- 5522 W Northgate Road, Rogers, AR 72758
- Phone
- (479) 662-8183
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Rogers, AR
- 65 Prime+ By MercyCertificate of Waiver, Physician office04D2310838
- Access Home HealthCertificate of Waiver, Home health agency04D0701531
- Advanced Dermatology and Skin Cancer CenterCertificate of Compliance, Physician office04D2287758
- Advanced Wound Therapy - Ar LLCCertificate of Waiver, Physician office04D2324551
- Arkansas Children's Northwest-ClinicCertificate of Waiver, Physician office04D2261955
- Ashley Health and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility04D1068896
- Blossoms at Rogers, theCertificate of Waiver, Skilled nursing or nursing facility04D0678828
- Boozman Hof Regional Eye ClinicCertificate of Waiver, Physician office04D0911561
- Boozman-Hof Eye Surgery & Laser CenterCertificate of Waiver, Ambulatory surgery center04D0911562
- CVS Pharmacy 10816Certificate of Waiver, Pharmacy04D2255925
Related
Questions
What is the CLIA number for Pinnacle Grove Senior Living in Rogers?
04D2330105, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pinnacle Grove Senior Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2330105 expire?
The CMS file lists September 9, 2027 as the certificate expiration date; the certificate took effect September 10, 2025.