CLIA lab
CLIA 04D0906636: Family Practice Assocs of Clarksville
Clarksville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0906636 belongs to Family Practice Assocs of Clarksville in Clarksville, AR.
Certificate of Compliance, effective January 30, 2026, expires January 29, 2028.
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
- January 30, 2026
- Certificate expiration
- January 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 1995
- 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
- 04D0906636
- Lab name
- Family Practice Assocs of Clarksville
- Address
- 23 Professional Park Drive, Clarksville, AR 72830
- Phone
- (479) 754-4721
- Fax
- (844) 584-4213
Annual test volume the lab reported
- Waived tests
- 8,000
- Other nonwaived tests
- 169,927
- Total
- 177,927
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Air-Evac 22Certificate of Waiver, Ambulance04D1089070
- Angela R Styles MD Dermatology & DermatopathologyCertificate of Compliance, Physician office04D0929297
- Archway Chiropractic ClinicCertificate of Waiver, Other practitioner04D2132489
- Arkansas Dermatology CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D2280333
- Center Convenient Care, PLCCertificate of Waiver, Other practitioner04D2234361
- Clarksville Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center04D2163797
- Clarksville Family Medical CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D0970176
- Clarksville Family PharmacyCertificate of Waiver, Pharmacy04D2169482
- Clarksville Medical Group, PACertificate of Compliance, Physician office04D0469031
Related
Questions
What is the CLIA number for Family Practice Assocs of Clarksville in Clarksville?
04D0906636, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Practice Assocs of Clarksville hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D0906636 expire?
The CMS file lists January 29, 2028 as the certificate expiration date; the certificate took effect January 30, 2026.