CLIA lab
CLIA 04D0897813: Butterfield Trail Village
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0897813 belongs to Butterfield Trail Village in Fayetteville, AR.
Certificate of Waiver, effective February 15, 2025, expires February 14, 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 Waiver
- Certificate effective
- February 15, 2025
- Certificate expiration
- February 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 15, 1995
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Private
- 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
- 04D0897813
- Lab name
- Butterfield Trail Village
- Address
- 1923 E Joyce Street, Fayetteville, AR 72703
- Phone
- (479) 442-7220
- Fax
- (479) 444-8321
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Butterfield Trail Village in Fayetteville?
04D0897813, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Butterfield Trail Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0897813 expire?
The CMS file lists February 14, 2027 as the certificate expiration date; the certificate took effect February 15, 2025.