CLIA lab
CLIA 04D1048911: Arkansas Outpatient Eye Surgery LLC
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1048911 belongs to Arkansas Outpatient Eye Surgery LLC in Fayetteville, AR.
Certificate of Waiver, effective December 14, 2025, expires December 13, 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
- December 14, 2025
- Certificate expiration
- December 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 14, 2005
- Facility type
- Ambulatory surgery center
- 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
- 04D1048911
- Lab name
- Arkansas Outpatient Eye Surgery LLC
- Address
- 3689 N Steele Blvd, Fayetteville, AR 72703
- Phone
- (479) 521-9424
- Fax
- (479) 521-6761
Annual test volume the lab reported
- Waived tests
- 100
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 Arkansas Outpatient Eye Surgery LLC in Fayetteville?
04D1048911, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arkansas Outpatient Eye Surgery LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1048911 expire?
The CMS file lists December 13, 2027 as the certificate expiration date; the certificate took effect December 14, 2025.