CLIA lab
CLIA 04D1052897: Johnson Dermatology Clinic, PLLC
Fort Smith, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1052897 belongs to Johnson Dermatology Clinic, PLLC in Fort Smith, AR.
Certificate of Compliance, effective June 19, 2025, expires June 18, 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 Compliance
- Certificate effective
- June 19, 2025
- Certificate expiration
- June 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 7, 2006
- 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
- 04D1052897
- Lab name
- Johnson Dermatology Clinic, PLLC
- Address
- 5921 Riley Park Drive, Fort Smith, AR 72916
- Phone
- (479) 649-3376
- Fax
- (479) 242-2256
Annual test volume the lab reported
- Waived tests
- 630
- Provider-performed microscopy tests
- 73
- Other nonwaived tests
- 10,214
- Total
- 10,917
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 Johnson Dermatology Clinic, PLLC in Fort Smith?
04D1052897, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Johnson Dermatology Clinic, PLLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D1052897 expire?
The CMS file lists June 18, 2027 as the certificate expiration date; the certificate took effect June 19, 2025.