CLIA lab
CLIA 04D2095155: Arkansas Veterans Home at Fayetteville
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2095155 belongs to Arkansas Veterans Home at Fayetteville in Fayetteville, AR.
Certificate of Waiver, effective May 1, 2025, expires April 30, 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
- May 1, 2025
- Certificate expiration
- April 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 1, 2015
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, state
- 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
- 04D2095155
- Lab name
- Arkansas Veterans Home at Fayetteville
- Address
- 1179 N College Ave, Fayetteville, AR 72703
- Phone
- (479) 444-7001
- Fax
- (479) 695-0184
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.
Care facility at this address
- Arkansas Veterans Home at FayettevilleCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Arkansas Veterans Home at Fayetteville in Fayetteville?
04D2095155, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arkansas Veterans Home at Fayetteville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2095155 expire?
The CMS file lists April 30, 2027 as the certificate expiration date; the certificate took effect May 1, 2025.