CLIA lab
CLIA 04D1089068: Air-Evac 04
Springdale, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1089068 belongs to Air-Evac 04 in Springdale, AR.
Certificate of Waiver, effective September 10, 2026, expires September 9, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 10, 2026
- Certificate expiration
- September 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 10, 2008
- Facility type
- Ambulance
- 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
- 04D1089068
- Lab name
- Air-Evac 04
- Address
- 712 W Maple Avenue, Springdale, AR 72764
- Phone
- (479) 419-4904
- Fax
- (479) 419-5291
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Springdale, AR
- Advanced Primary CareCertificate of Waiver, Physician office04D2219905
- Any Lab Test Now - Springdale, ArCertificate of Waiver, Other04D2340887
- Arcare 136Certificate of Waiver, Federally qualified health center04D2178514
- Arcpoint Labs of SpringdaleCertificate of Waiver, Independent04D2303232
- Arkansas Children's NorthwestCertificate of Accreditation, Hospital04D2142731
- Arkansas Occupational Health ClinicCertificate of Waiver, Physician office04D0900910
- Arkansas Pain SpecialistsCertificate of Waiver, Physician office04D2338727
- Azalea Commons of SpringdaleCertificate of Waiver, Assisted living facility04D2246585
- Basis HealthCertificate of Waiver, Physician office04D2008363
- Basis HealthCertificate of Registration, Physician office45D2331617
Related
Questions
What is the CLIA number for Air-Evac 04 in Springdale?
04D1089068, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Air-Evac 04 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1089068 expire?
The CMS file lists September 9, 2028 as the certificate expiration date; the certificate took effect September 10, 2026.