CLIA lab
CLIA 04D0895127: Crestpark Forrest City LLC
Forrest City, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0895127 belongs to Crestpark Forrest City LLC in Forrest City, AR.
Certificate of Waiver, effective November 30, 2024, expires November 29, 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 Waiver
- Certificate effective
- November 30, 2024
- Certificate expiration
- November 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 30, 1994
- Facility type
- Skilled nursing or nursing facility
- 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
- 04D0895127
- Lab name
- Crestpark Forrest City LLC
- Address
- 500 Kittel Road, Forrest City, AR 72335
- Phone
- (870) 633-4260
Annual test volume the lab reported
- Waived tests
- 2,200
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
- DR Kumar's Medical Clinic, PACertificate for Provider-Performed Microscopy Procedures, Physician office04D0897668
- Delta Family ClinicCertificate of Waiver, Other04D2275410
Related
Questions
What is the CLIA number for Crestpark Forrest City LLC in Forrest City?
04D0895127, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Crestpark Forrest City LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0895127 expire?
The CMS file lists November 29, 2026 as the certificate expiration date; the certificate took effect November 30, 2024.