CLIA lab
CLIA 04D2104590: Boar's Head Family Health and Wellness Center
Forrest City, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2104590 belongs to Boar's Head Family Health and Wellness Center in Forrest City, AR.
Certificate of Waiver, effective November 9, 2025, expires November 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 of Waiver
- Certificate effective
- November 9, 2025
- Certificate expiration
- November 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 9, 2015
- Facility type
- Other
- 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
- 04D2104590
- Lab name
- Boar's Head Family Health and Wellness Center
- Additional name
- Marathon Health LLC
- Address
- 2530 West Broadway Ave, Forrest City, AR 72335
- Phone
- (802) 857-0434
- Fax
- (802) 419-4876
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.
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- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2274126
- Air-Evac 42Certificate of Waiver, Ambulance04D1089082
- Arcare 170Certificate of Waiver, Federally qualified health center04D0467747
- B M A ST Francis CountyCertificate of Waiver, End stage renal disease dialysis facility04D0890899
- Brandy Davis MD PACertificate for Provider-Performed Microscopy Procedures, Physician office04D1036376
- Centerwell Home HealthCertificate of Waiver, Home health agency04D2116858
- Crestpark Forrest City LLCCertificate of Waiver, Skilled nursing or nursing facility04D0895127
- DR Kumar's Medical Clinic, PACertificate for Provider-Performed Microscopy Procedures, Physician office04D0897668
- Delta Family ClinicCertificate of Waiver, Other04D2275410
Related
Questions
What is the CLIA number for Boar's Head Family Health and Wellness Center in Forrest City?
04D2104590, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Boar's Head Family Health and Wellness Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2104590 expire?
The CMS file lists November 8, 2027 as the certificate expiration date; the certificate took effect November 9, 2025.