CLIA lab
CLIA 04D1062378: Rvpcs Northside Clinic
Fort Smith, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1062378 belongs to Rvpcs Northside Clinic in Fort Smith, AR.
Certificate for Provider-Performed Microscopy Procedures, effective June 27, 2026, expires June 26, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 27, 2026
- Certificate expiration
- June 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 13, 2006
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 04D1062378
- Lab name
- Rvpcs Northside Clinic
- Additional name
- River Valley Primary Care Services Inc
- Address
- 4900 Kelley Hwy, Fort Smith, AR 72904
- Phone
- (479) 785-5700
- Fax
- (479) 785-5708
Annual test volume the lab reported
- Waived tests
- 3,000
- Provider-performed microscopy tests
- 50
- Total
- 3,050
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 Rvpcs Northside Clinic in Fort Smith?
04D1062378, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rvpcs Northside Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D1062378 expire?
The CMS file lists June 26, 2028 as the certificate expiration date; the certificate took effect June 27, 2026.