CLIA lab
CLIA 04D1096838: Forrest City Dialysis
Forrest City, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1096838 belongs to Forrest City Dialysis in Forrest City, AR.
Certificate of Waiver, effective March 12, 2025, expires March 11, 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 12, 2025
- Certificate expiration
- March 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 12, 2009
- Facility type
- End stage renal disease dialysis facility
- 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
- 04D1096838
- Lab name
- Forrest City Dialysis
- Address
- 1501 North Washington Street, Forrest City, AR 72335
- Phone
- (870) 494-4022
- Fax
- (870) 494-4769
Annual test volume the lab reported
- Waived tests
- 20,592
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Forrest City DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Forrest City, AR
- 870 MedicalCertificate of Waiver, Other practitioner04D2346571
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2274126
- Air-Evac 42Certificate of Waiver, Ambulance04D1089082
- Arcare 170Certificate of Waiver, Federally qualified health center04D0467747
- B M A ST Francis CountyCertificate of Waiver, End stage renal disease dialysis facility04D0890899
- Boar's Head Family Health and Wellness CenterCertificate of Waiver, Other04D2104590
- Brandy Davis MD PACertificate for Provider-Performed Microscopy Procedures, Physician office04D1036376
- Centerwell Home HealthCertificate of Waiver, Home health agency04D2116858
- Crestpark Forrest City LLCCertificate of Waiver, Skilled nursing or nursing facility04D0895127
- DR Kumar's Medical Clinic, PACertificate for Provider-Performed Microscopy Procedures, Physician office04D0897668
Related
- CLIA labs in Forrest City, AR30 active
- CLIA labs in Arkansas
- DaVita Forrest City Dialysis: CMS ratings
- Nursing Homes in Forrest City, AR
- Home Health Agencies in Forrest City, AR
- Hospices in Forrest City, AR
- Dialysis Centers in Forrest City, AR
- Hospitals in Forrest City, AR
- NPI records in Forrest City, AR
- CLIA lookup
Questions
What is the CLIA number for Forrest City Dialysis in Forrest City?
04D1096838, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Forrest City Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1096838 expire?
The CMS file lists March 11, 2027 as the certificate expiration date; the certificate took effect March 12, 2025.