CLIA lab

CLIA 04D0859556: Lewisville Family Practice Center

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

CLIA number 04D0859556 belongs to Lewisville Family Practice Center in Lewisville, AR.

Certificate of Compliance, effective November 25, 2024, expires November 24, 2026.

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
November 25, 2024
Certificate expiration
November 24, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Federally qualified health center
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

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

Lab and contact

CLIA number
04D0859556
Lab name
Lewisville Family Practice Center
Address
1117 South Chestnut Street, Lewisville, AR 71845
Phone
(870) 921-5781
Fax
(870) 921-4510

Annual test volume the lab reported

Waived tests
900
Other nonwaived tests
354
Total
1,254

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

Affiliated CLIA numbers

Other labs in Lewisville, AR

Related

Questions

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

04D0859556, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lewisville Family Practice Center hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 04D0859556 expire?

The CMS file lists November 24, 2026 as the certificate expiration date; the certificate took effect November 25, 2024.

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