CLIA lab
CLIA 04D0689262: Dallas County Medical Center
Fordyce, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0689262 belongs to Dallas County Medical Center in Fordyce, AR.
Certificate of Compliance, effective March 25, 2025, expires March 24, 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
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 Compliance
- Certificate effective
- March 25, 2025
- Certificate expiration
- March 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Hospital
- Ownership (control type)
- Government, county
- 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
- 04D0689262
- Lab name
- Dallas County Medical Center
- Address
- 201 Clifton Street, Fordyce, AR 71742
- Phone
- (870) 352-6347
- Fax
- (870) 352-6397
Annual test volume the lab reported
- Waived tests
- 58,340
- Provider-performed microscopy tests
- 1,760
- Other nonwaived tests
- 145,361
- Total
- 205,461
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Dallas County Medical CenterCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Fordyce, AR
- Dcmc Family ClinicCertificate of Waiver, Rural health clinic04D1066528
- Elite Home HealthCertificate of Waiver, Home health agency04D0698540
- Millcreek of ArkansasCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities04D1027329
- Millcreek of Arkansas ICF MRCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities04D2010339
- Nutt-Walley Clinic of Dallas CountyCertificate of Waiver, Rural health clinic04D1089243
- ST John's Place of Arkansas LLCCertificate of Waiver, Skilled nursing or nursing facility04D1066504
- Walmart Pharmacy 10-0339Certificate of Waiver, Pharmacy04D2139457
Related
Questions
What is the CLIA number for Dallas County Medical Center in Fordyce?
04D0689262, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dallas County Medical Center hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D0689262 expire?
The CMS file lists March 24, 2027 as the certificate expiration date; the certificate took effect March 25, 2025.