CLIA lab

CLIA 04D0717370: Family Practice Center

Clinton, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D0717370 belongs to Family Practice Center in Clinton, 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
February 12, 1993
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
04D0717370
Lab name
Family Practice Center
Address
194 Shakerag Road, Clinton, AR 72031
Phone
(501) 745-2800
Fax
(501) 745-8864

Annual test volume the lab reported

Waived tests
19

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Clinton, AR

Related

Questions

What is the CLIA number for Family Practice Center in Clinton?

04D0717370, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Family Practice Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0717370 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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