CLIA lab
CLIA 04D1094440: Advanced Dermatology & Skin Cancer Center
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1094440 belongs to Advanced Dermatology & Skin Cancer Center in Fayetteville, AR.
Certificate of Compliance, effective May 5, 2026, expires May 4, 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 of Compliance
- Certificate effective
- May 5, 2026
- Certificate expiration
- May 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 20, 2009
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D1094440
- Lab name
- Advanced Dermatology & Skin Cancer Center
- Address
- 1444 E Stearns St, Suite 11, Fayetteville, AR 72703
- Phone
- (479) 718-7546
- Fax
- (479) 966-4979
Annual test volume the lab reported
- Waived tests
- 117
- Provider-performed microscopy tests
- 220
- Other nonwaived tests
- 5,704
- Total
- 6,041
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fayetteville, AR
- Abernathy ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office04D1036891
- Accent Women's HealthCertificate for Provider-Performed Microscopy Procedures, Physician office04D1087975
- Advanced Health and Wellness ICertificate of Waiver, Federally qualified health center04D2294418
- Ancient Birth TraditionCertificate of Waiver, Other practitioner04D2220559
- Arcare 96Certificate of Waiver, Federally qualified health center04D2308355
- Arkansas Outpatient Eye Surgery LLCCertificate of Waiver, Ambulatory surgery center04D1048911
- Arkansas Veterans Home at FayettevilleCertificate of Waiver, Skilled nursing or nursing facility04D2095155
- Aurora Rehabilitation ClinicCertificate of Waiver, Comprehensive outpatient rehab facility04D2269408
- BHG Medical Services - FayettevilleCertificate of Waiver, Other04D2173843
- Biolife Plasma Services LPCertificate of Compliance, Other04D0912234
Related
Questions
What is the CLIA number for Advanced Dermatology & Skin Cancer Center in Fayetteville?
04D1094440, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Advanced Dermatology & Skin Cancer Center hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D1094440 expire?
The CMS file lists May 4, 2028 as the certificate expiration date; the certificate took effect May 5, 2026.