CLIA lab
CLIA 04D0869754: Forrest City Family Practice Clinic PA
Forrest City, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0869754 belongs to Forrest City Family Practice Clinic PA in Forrest City, AR.
Certificate for Provider-Performed Microscopy Procedures, effective October 16, 2025, expires October 15, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 16, 2025
- Certificate expiration
- October 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- 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
- 04D0869754
- Lab name
- Forrest City Family Practice Clinic PA
- Address
- 902 Holiday Dr, Suite 101, Forrest City, AR 72335
- Phone
- (870) 630-1256
- Fax
- (870) 630-1362
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 50
- Total
- 1,050
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Forrest City, AR
- 870 MedicalCertificate of Waiver, Other practitioner04D2346571
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2274126
- Air-Evac 42Certificate of Waiver, Ambulance04D1089082
- Arcare 170Certificate of Waiver, Federally qualified health center04D0467747
- B M A ST Francis CountyCertificate of Waiver, End stage renal disease dialysis facility04D0890899
- Boar's Head Family Health and Wellness CenterCertificate of Waiver, Other04D2104590
- Brandy Davis MD PACertificate for Provider-Performed Microscopy Procedures, Physician office04D1036376
- Centerwell Home HealthCertificate of Waiver, Home health agency04D2116858
- Crestpark Forrest City LLCCertificate of Waiver, Skilled nursing or nursing facility04D0895127
- DR Kumar's Medical Clinic, PACertificate for Provider-Performed Microscopy Procedures, Physician office04D0897668
Related
Questions
What is the CLIA number for Forrest City Family Practice Clinic PA in Forrest City?
04D0869754, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Forrest City Family Practice Clinic PA hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D0869754 expire?
The CMS file lists October 15, 2027 as the certificate expiration date; the certificate took effect October 16, 2025.