CLIA lab

CLIA 04D2348347: Caddo River Medical Clinic PLLC

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

CLIA number 04D2348347 belongs to Caddo River Medical Clinic PLLC in Glenwood, AR.

Certificate of Waiver, effective August 5, 2026, expires August 4, 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
August 5, 2026
Certificate expiration
August 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 5, 2026
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
04D2348347
Lab name
Caddo River Medical Clinic PLLC
Address
180 Hwy 70 E Ste 11, Glenwood, AR 71943
Phone
(870) 828-0093
Fax
(870) 259-2883

Annual test volume the lab reported

Waived tests
2,000

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 Caddo River Medical Clinic PLLC in Glenwood?

04D2348347, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Caddo River Medical Clinic PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2348347 expire?

The CMS file lists August 4, 2028 as the certificate expiration date; the certificate took effect August 5, 2026.

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