CLIA lab
CLIA 04D0669583: Rogers Family Practice
Rogers, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0669583 belongs to Rogers Family Practice in Rogers, AR.
Certificate of Compliance, effective June 8, 2025, expires June 7, 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
- June 8, 2025
- Certificate expiration
- June 7, 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
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0669583
- Lab name
- Rogers Family Practice
- Address
- 1615 W Persimmon St, Suite B, Rogers, AR 72756
- Phone
- (479) 636-7192
- Fax
- (479) 636-7324
Annual test volume the lab reported
- Waived tests
- 450
- Other nonwaived tests
- 675
- Total
- 1,125
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rogers, AR
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- Access Home HealthCertificate of Waiver, Home health agency04D0701531
- Advanced Dermatology and Skin Cancer CenterCertificate of Compliance, Physician office04D2287758
- Advanced Wound Therapy - Ar LLCCertificate of Waiver, Physician office04D2324551
- Arkansas Children's Northwest-ClinicCertificate of Waiver, Physician office04D2261955
- Ashley Health and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility04D1068896
- Blossoms at Rogers, theCertificate of Waiver, Skilled nursing or nursing facility04D0678828
- Boozman Hof Regional Eye ClinicCertificate of Waiver, Physician office04D0911561
- Boozman-Hof Eye Surgery & Laser CenterCertificate of Waiver, Ambulatory surgery center04D0911562
- CVS Pharmacy 10816Certificate of Waiver, Pharmacy04D2255925
Related
Questions
What is the CLIA number for Rogers Family Practice in Rogers?
04D0669583, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rogers Family Practice hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D0669583 expire?
The CMS file lists June 7, 2027 as the certificate expiration date; the certificate took effect June 8, 2025.