CLIA lab
CLIA 04D0962205: Eaglecrest Nursing & Rehab
Ash Flat, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0962205 belongs to Eaglecrest Nursing & Rehab in Ash Flat, AR.
Certificate of Waiver, effective June 25, 2025, expires June 24, 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
- June 25, 2025
- Certificate expiration
- June 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 25, 1999
- 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
- 04D0962205
- Lab name
- Eaglecrest Nursing & Rehab
- Address
- 916 Hw 62/412, Ash Flat, AR 72513
- Phone
- (870) 994-3040
- Fax
- (870) 994-3041
Annual test volume the lab reported
- Waived tests
- 25,000
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 Eaglecrest Nursing & Rehab in Ash Flat?
04D0962205, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eaglecrest Nursing & Rehab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0962205 expire?
The CMS file lists June 24, 2027 as the certificate expiration date; the certificate took effect June 25, 2025.