CLIA lab

CLIA 04D2115918: Family Health Associates of Southeast Arkansas

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

CLIA number 04D2115918 belongs to Family Health Associates of Southeast Arkansas in Pine Bluff, AR.

Certificate of Waiver, effective July 15, 2026, expires July 14, 2028.

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
July 15, 2026
Certificate expiration
July 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 15, 2016
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
04D2115918
Lab name
Family Health Associates of Southeast Arkansas
Address
1801 West 40TH, Suite 6A, Pine Bluff, AR 71603
Phone
(870) 541-9373
Fax
(870) 541-0109

Annual test volume the lab reported

Waived tests
2,500

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

Other labs in Pine Bluff, AR

Related

Questions

What is the CLIA number for Family Health Associates of Southeast Arkansas in Pine Bluff?

04D2115918, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Family Health Associates of Southeast Arkansas hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2115918 expire?

The CMS file lists July 14, 2028 as the certificate expiration date; the certificate took effect July 15, 2026.

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