CLIA lab
CLIA 04D1036891: Abernathy Clinic
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1036891 belongs to Abernathy Clinic in Fayetteville, AR.
Certificate for Provider-Performed Microscopy Procedures, effective March 4, 2025, expires March 3, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- March 4, 2025
- Certificate expiration
- March 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 2005
- 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
- 04D1036891
- Lab name
- Abernathy Clinic
- Address
- 1806 Crossover Village Suite 4, Fayetteville, AR 72701
- Phone
- (479) 521-5603
- Fax
- (479) 521-5773
Annual test volume the lab reported
- Waived tests
- 750
- Provider-performed microscopy tests
- 750
- Total
- 1,500
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 Abernathy Clinic in Fayetteville?
04D1036891, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Abernathy Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D1036891 expire?
The CMS file lists March 3, 2027 as the certificate expiration date; the certificate took effect March 4, 2025.