CLIA lab
CLIA 04D2046256: Eastside Family Clinic
Fort Smith, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2046256 belongs to Eastside Family Clinic in Fort Smith, AR.
Certificate for Provider-Performed Microscopy Procedures, effective August 29, 2026, expires August 28, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 29, 2026
- Certificate expiration
- August 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 29, 2012
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 04D2046256
- Lab name
- Eastside Family Clinic
- Address
- 4003 Massard Rd, Fort Smith, AR 72903
- Phone
- (479) 434-4747
- Fax
- (479) 434-4949
Annual test volume the lab reported
- Waived tests
- 3,000
- Provider-performed microscopy tests
- 50
- Total
- 3,050
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 Eastside Family Clinic in Fort Smith?
04D2046256, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eastside Family Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2046256 expire?
The CMS file lists August 28, 2028 as the certificate expiration date; the certificate took effect August 29, 2026.