CLIA lab
CLIA 04D2090669: Jefferies Eye Clinic, PA
Rogers, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2090669 belongs to Jefferies Eye Clinic, PA in Rogers, AR.
Certificate of Waiver, effective January 28, 2025, expires January 27, 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
- January 28, 2025
- Certificate expiration
- January 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 2015
- Facility type
- Physician office
- 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
- 04D2090669
- Lab name
- Jefferies Eye Clinic, PA
- Additional name
- DBA Jeffries Eye Associates
- Address
- 3602 Southern Hills Blvd, Rogers, AR 72758
- Phone
- (479) 631-8900
- Fax
- (479) 899-6698
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Blossoms at Rogers, theCertificate of Waiver, Skilled nursing or nursing facility04D0678828
- Boozman Hof Regional Eye ClinicCertificate of Waiver, Physician office04D0911561
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Related
Questions
What is the CLIA number for Jefferies Eye Clinic, PA in Rogers?
04D2090669, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferies Eye Clinic, PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2090669 expire?
The CMS file lists January 27, 2027 as the certificate expiration date; the certificate took effect January 28, 2025.