CLIA lab
CLIA 04D0467880: Childers & Jackson Family Eye Care
Wynne, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0467880 belongs to Childers & Jackson Family Eye Care in Wynne, 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
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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
- December 16, 1992
- 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
- 04D0467880
- Lab name
- Childers & Jackson Family Eye Care
- Address
- 723 S Falls, Suite A, Wynne, AR 72396
- Phone
- (870) 238-2020
- Fax
- (870) 238-4320
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Crestpark Wynne LLCCertificate of Waiver, Skilled nursing or nursing facility04D0718959
- Crossridge Community HospitalCertificate of Accreditation, Hospital04D0467885
- Harmony Health ClinicCertificate of Compliance, Physician office04D2258126
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- River Ridge Rehabilitation and Care CenterCertificate of Waiver, Skilled nursing or nursing facility04D2009224
Related
Questions
What is the CLIA number for Childers & Jackson Family Eye Care in Wynne?
04D0467880, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Childers & Jackson Family Eye Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0467880 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.