CLIA lab
CLIA 04D0467303: Autumn Road Family Practice, PA
Little Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0467303 belongs to Autumn Road Family Practice, PA in Little Rock, AR.
Certificate of Compliance, effective February 14, 2025, expires February 13, 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 Compliance
- Certificate effective
- February 14, 2025
- Certificate expiration
- February 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0467303
- Lab name
- Autumn Road Family Practice, PA
- Address
- 904 Autumn Road, Little Rock, AR 72211
- Phone
- (501) 227-6363
Annual test volume the lab reported
- Waived tests
- 1,581
- Provider-performed microscopy tests
- 5,590
- Other nonwaived tests
- 49,825
- Total
- 56,996
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Little Rock, AR
- Ac PediatricsCertificate of Waiver, Physician office04D2000106
- Acetaminophen Toxicity Diagnostics, LLC LaboratoryCertificate of Accreditation, Independent04D2155617
- Ach Point of Care TestingCertificate for Provider-Performed Microscopy Procedures, Hospital04D0865608
- Ach West Little Rock ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office04D2000105
- Advance Spine and Pain CenterCertificate of Accreditation, Physician office04D2084810
- Advanced Spine and Pain CenterCertificate of Waiver, Physician office04D2061922
- All for Kids Pediatric ClinicCertificate of Compliance, Physician office04D0467220
- Allan Mckenzie MDCertificate of Waiver, Physician office04D2132908
- Allay Health and RehabCertificate of Waiver, Skilled nursing or nursing facility04D0902767
- Alpha Medical LaboratoryCertificate of Waiver, Independent04D2267958
Related
Questions
What is the CLIA number for Autumn Road Family Practice, PA in Little Rock?
04D0467303, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Autumn Road Family Practice, PA hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D0467303 expire?
The CMS file lists February 13, 2027 as the certificate expiration date; the certificate took effect February 14, 2025.