CLIA lab
CLIA 04D2028686: FPS Wellness and Education Clinic at Owl Creek
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2028686 belongs to FPS Wellness and Education Clinic at Owl Creek in Fayetteville, AR.
Certificate for Provider-Performed Microscopy Procedures, effective August 23, 2025, expires August 22, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 23, 2025
- Certificate expiration
- August 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 23, 2011
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- 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
- 04D2028686
- Lab name
- FPS Wellness and Education Clinic at Owl Creek
- Address
- 375 N Rupple Rd, Fayetteville, AR 72704
- Phone
- (479) 751-7417
- Fax
- (479) 751-2878
Annual test volume the lab reported
- Waived tests
- 250
- Provider-performed microscopy tests
- 50
- Total
- 300
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 FPS Wellness and Education Clinic at Owl Creek in Fayetteville?
04D2028686, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does FPS Wellness and Education Clinic at Owl Creek hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2028686 expire?
The CMS file lists August 22, 2027 as the certificate expiration date; the certificate took effect August 23, 2025.