CLIA lab
CLIA 04D2064804: Community Clinic Springdale Medical - Fam Practice
Springdale, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2064804 belongs to Community Clinic Springdale Medical - Fam Practice in Springdale, AR.
Certificate for Provider-Performed Microscopy Procedures, effective April 9, 2025, expires April 8, 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
- April 9, 2025
- Certificate expiration
- April 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 27, 2013
- 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
- 04D2064804
- Lab name
- Community Clinic Springdale Medical - Fam Practice
- Address
- 610A E Emma Ave, Springdale, AR 72764
- Phone
- (479) 751-7417
- Fax
- (479) 751-2878
Annual test volume the lab reported
- Waived tests
- 7,922
- Provider-performed microscopy tests
- 50
- Total
- 7,972
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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
Related
Questions
What is the CLIA number for Community Clinic Springdale Medical - Fam Practice in Springdale?
04D2064804, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Community Clinic Springdale Medical - Fam Practice hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2064804 expire?
The CMS file lists April 8, 2027 as the certificate expiration date; the certificate took effect April 9, 2025.