CLIA lab
CLIA 04D2118690: Gentiva
Forrest City, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2118690 belongs to Gentiva in Forrest City, AR.
Certificate of Waiver, effective September 13, 2026, expires September 12, 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
- September 13, 2026
- Certificate expiration
- September 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 2016
- Facility type
- Hospice
- 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
- 04D2118690
- Lab name
- Gentiva
- Additional name
- Odyssey Healthcare Operating A, LP
- Address
- 915 Washington Street, Suite B-1, Forrest City, AR 72335
- Phone
- (704) 664-2876
- Fax
- (704) 664-1306
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Forrest City, AR
- 870 MedicalCertificate of Waiver, Other practitioner04D2346571
- 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
- Boar's Head Family Health and Wellness CenterCertificate of Waiver, Other04D2104590
- 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
Related
Questions
What is the CLIA number for Gentiva in Forrest City?
04D2118690, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gentiva hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2118690 expire?
The CMS file lists September 12, 2028 as the certificate expiration date; the certificate took effect September 13, 2026.