CLIA lab

CLIA 04D0719487: North Hills Surgery Center

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

CLIA number 04D0719487 belongs to North Hills Surgery Center in Fayetteville, AR.

Certificate of Compliance, effective February 12, 2025, expires February 11, 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
February 12, 2025
Certificate expiration
February 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 13, 1994
Facility type
Ambulatory surgery center
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
04D0719487
Lab name
North Hills Surgery Center
Address
3271 North Wimberly Drive, Ste 1, Fayetteville, AR 72703
Phone
(479) 713-6100
Fax
(479) 713-6146

Annual test volume the lab reported

Waived tests
21,000
Other nonwaived tests
455
Total
21,455

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

Related

Questions

What is the CLIA number for North Hills Surgery Center in Fayetteville?

04D0719487, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does North Hills Surgery Center hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 04D0719487 expire?

The CMS file lists February 11, 2027 as the certificate expiration date; the certificate took effect February 12, 2025.

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