CLIA lab
CLIA 04D2093813: Ozark Medical Clinic-Fairfield Bay
Fairfield Bay, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2093813 belongs to Ozark Medical Clinic-Fairfield Bay in Fairfield Bay, AR.
Certificate of Waiver, effective April 6, 2025, expires April 5, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 6, 2025
- Certificate expiration
- April 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 6, 2015
- Facility type
- Physician office
- 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
- 04D2093813
- Lab name
- Ozark Medical Clinic-Fairfield Bay
- Address
- 383 Dave Creek Parkway, Fairfield Bay, AR 72088
- Phone
- (501) 884-6900
- Fax
- (501) 745-9741
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fairfield Bay, AR
Related
Questions
What is the CLIA number for Ozark Medical Clinic-Fairfield Bay in Fairfield Bay?
04D2093813, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ozark Medical Clinic-Fairfield Bay hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2093813 expire?
The CMS file lists April 5, 2027 as the certificate expiration date; the certificate took effect April 6, 2025.