CLIA lab

CLIA 04D2089080: Elmdale School Based Health Center

Springdale, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2089080 belongs to Elmdale School Based Health Center 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
December 18, 2014
Facility type
Federally qualified health center
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
04D2089080
Lab name
Elmdale School Based Health Center
Address
420 N West End, Springdale, AR 72764
Phone
(479) 751-7417
Fax
(479) 751-2878

Annual test volume the lab reported

Waived tests
490
Provider-performed microscopy tests
10
Total
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Springdale, AR

Related

Questions

What is the CLIA number for Elmdale School Based Health Center in Springdale?

04D2089080, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Elmdale School Based Health Center hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 04D2089080 expire?

The CMS file lists April 8, 2027 as the certificate expiration date; the certificate took effect April 9, 2025.

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