CLIA lab
CLIA 04D1066528: Dcmc Family Clinic
Fordyce, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1066528 belongs to Dcmc Family Clinic in Fordyce, AR.
Certificate of Waiver, effective March 27, 2025, expires March 26, 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
- March 27, 2025
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 27, 2007
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, county
- 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
- 04D1066528
- Lab name
- Dcmc Family Clinic
- Address
- 201 Clifton, Fordyce, AR 71742
- Phone
- (870) 352-6300
- Fax
- (870) 352-6343
Annual test volume the lab reported
- Waived tests
- 1,560
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Dallas County Medical CenterCertificate of Compliance, Hospital04D0689262
- Elite Home HealthCertificate of Waiver, Home health agency04D0698540
- Millcreek of ArkansasCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities04D1027329
- Millcreek of Arkansas ICF MRCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities04D2010339
- Nutt-Walley Clinic of Dallas CountyCertificate of Waiver, Rural health clinic04D1089243
- ST John's Place of Arkansas LLCCertificate of Waiver, Skilled nursing or nursing facility04D1066504
- Walmart Pharmacy 10-0339Certificate of Waiver, Pharmacy04D2139457
Related
Questions
What is the CLIA number for Dcmc Family Clinic in Fordyce?
04D1066528, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dcmc Family Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1066528 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect March 27, 2025.