CLIA lab
CLIA 04D0468584: Fayetteville Diagnostic Clinic
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0468584 belongs to Fayetteville Diagnostic Clinic in Fayetteville, AR.
Certificate of Compliance, effective December 14, 2024, expires December 13, 2026.
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
- December 14, 2024
- Certificate expiration
- December 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 28, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0468584
- Lab name
- Fayetteville Diagnostic Clinic
- Additional name
- Medical Associates of Northwest Arkansas
- Address
- 3344 North Futrall Drive, Fayetteville, AR 72703
- Phone
- (479) 582-7256
- Fax
- (479) 582-7232
Annual test volume the lab reported
- Waived tests
- 3,641
- Provider-performed microscopy tests
- 5,874
- Other nonwaived tests
- 719,914
- Total
- 729,429
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fayetteville, AR
- Abernathy ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office04D1036891
- Accent Women's HealthCertificate for Provider-Performed Microscopy Procedures, Physician office04D1087975
- Advanced Dermatology & Skin Cancer CenterCertificate of Compliance, Physician office04D1094440
- Advanced Health and Wellness ICertificate of Waiver, Federally qualified health center04D2294418
- Ancient Birth TraditionCertificate of Waiver, Other practitioner04D2220559
- Arcare 96Certificate of Waiver, Federally qualified health center04D2308355
- Arkansas Outpatient Eye Surgery LLCCertificate of Waiver, Ambulatory surgery center04D1048911
- Arkansas Veterans Home at FayettevilleCertificate of Waiver, Skilled nursing or nursing facility04D2095155
- Aurora Rehabilitation ClinicCertificate of Waiver, Comprehensive outpatient rehab facility04D2269408
- BHG Medical Services - FayettevilleCertificate of Waiver, Other04D2173843
Related
Questions
What is the CLIA number for Fayetteville Diagnostic Clinic in Fayetteville?
04D0468584, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fayetteville Diagnostic Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D0468584 expire?
The CMS file lists December 13, 2026 as the certificate expiration date; the certificate took effect December 14, 2024.