CLIA lab
CLIA 04D0680421: Blossoms at Fort Smith, the
Fort Smith, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0680421 belongs to Blossoms at Fort Smith, the in Fort Smith, 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 4, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 04D0680421
- Lab name
- Blossoms at Fort Smith, the
- Additional name
- Wheeler Avenue Operating LLC
- Address
- 5301 Wheeler Avenue, Fort Smith, AR 72901
- Phone
- (479) 646-3454
- Fax
- (479) 434-2275
Annual test volume the lab reported
- Waived tests
- 6,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- The Blossoms at Fort Smith Rehab & Nursing CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Fort Smith, AR
- 1st Choice Pregnancy Medical CenterCertificate of Waiver, Independent04D2077456
- Access Home HealthCertificate of Waiver, Home health agency04D2164432
- Actss A Common Thread Supportive ServicesCertificate of Waiver, Community clinic04D2349408
- Advanced Cataract Surgery Laser CenterCertificate of Waiver, Ambulatory surgery center04D1041984
- Air Evac Lifeteam 149Certificate of Waiver, Mobile lab04D2143000
- Anderson Discount PharmacyCertificate of Waiver, Pharmacy04D2153217
- Arc Best Wellness CenterCertificate of Waiver, Physician office04D2074469
- Arcare - Fort SmithCertificate of Waiver, Federally qualified health center04D2049894
- Arcare 159Certificate of Waiver, Federally qualified health center04D2324553
- Area Agency on Aging of Western Ar, IncCertificate of Waiver, Home health agency04D0685272
Related
- CLIA labs in Fort Smith, AR135 active
- CLIA labs in Arkansas
- The Blossoms at Fort Smith Rehab & Nursing Center: CMS ratings
- Nursing Homes in Fort Smith, AR
- Home Health Agencies in Fort Smith, AR
- Hospices in Fort Smith, AR
- Dialysis Centers in Fort Smith, AR
- Hospitals in Fort Smith, AR
- NPI records in Fort Smith, AR
- CLIA lookup
Questions
What is the CLIA number for Blossoms at Fort Smith, the in Fort Smith?
04D0680421, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blossoms at Fort Smith, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0680421 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.