CLIA lab
CLIA 04D2129897: Arkansas Family Medicine
Little Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2129897 belongs to Arkansas Family Medicine in Little Rock, AR.
Certificate of Waiver, effective April 27, 2025, expires April 26, 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
- April 27, 2025
- Certificate expiration
- April 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 27, 2017
- Facility type
- Physician office
- 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
- 04D2129897
- Lab name
- Arkansas Family Medicine
- Address
- 15400 Chenal Parkway, Ste 130, Little Rock, AR 72211
- Phone
- (501) 725-7919
- Fax
- (501) 208-8061
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Arkansas Family Medicine in Little Rock?
04D2129897, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arkansas Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2129897 expire?
The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.