CLIA lab
CLIA 04D0891080: Community Clinic Springdale Medical
Springdale, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0891080 belongs to Community Clinic Springdale Medical in Springdale, AR.
Certificate of Compliance, effective October 28, 2024, expires October 27, 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
- October 28, 2024
- Certificate expiration
- October 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 31, 1994
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0891080
- Lab name
- Community Clinic Springdale Medical
- Address
- 614 E Emma Ave, Ste 300, Springdale, AR 72764
- Phone
- (479) 751-7417
- Fax
- (479) 751-2878
Annual test volume the lab reported
- Waived tests
- 11,472
- Other nonwaived tests
- 238
- Total
- 11,710
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Springdale, AR
- Advanced Primary CareCertificate of Waiver, Physician office04D2219905
- Air-Evac 04Certificate of Waiver, Ambulance04D1089068
- Any Lab Test Now - Springdale, ArCertificate of Waiver, Other04D2340887
- Arcare 136Certificate of Waiver, Federally qualified health center04D2178514
- Arcpoint Labs of SpringdaleCertificate of Waiver, Independent04D2303232
- Arkansas Children's NorthwestCertificate of Accreditation, Hospital04D2142731
- Arkansas Occupational Health ClinicCertificate of Waiver, Physician office04D0900910
- Arkansas Pain SpecialistsCertificate of Waiver, Physician office04D2338727
- Azalea Commons of SpringdaleCertificate of Waiver, Assisted living facility04D2246585
- Basis HealthCertificate of Waiver, Physician office04D2008363
Related
Questions
What is the CLIA number for Community Clinic Springdale Medical in Springdale?
04D0891080, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Community Clinic Springdale Medical hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D0891080 expire?
The CMS file lists October 27, 2026 as the certificate expiration date; the certificate took effect October 28, 2024.