CLIA lab
CLIA 04D0465647: Smackover Family Practice Clinic
Smackover, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0465647 belongs to Smackover Family Practice Clinic in Smackover, AR.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 15, 1993
- Facility type
- Physician office
- 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
- 04D0465647
- Lab name
- Smackover Family Practice Clinic
- Address
- 1400 Pershing Hwy, Smackover, AR 71762
- Phone
- (870) 725-3471
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Smackover Family Practice Clinic in Smackover?
04D0465647, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Smackover Family Practice Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0465647 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.