CLIA lab
CLIA 04D2140158: Care IV Home Health
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2140158 belongs to Care IV Home Health in Fayetteville, AR.
Certificate of Waiver, effective November 15, 2025, expires November 14, 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 15, 2025
- Certificate expiration
- November 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 15, 2017
- Facility type
- Home health agency
- 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
- 04D2140158
- Lab name
- Care IV Home Health
- Additional name
- Care IV Inc
- Address
- 438 E Millsap Road Ste 204, Fayetteville, AR 72703
- Phone
- (479) 750-1155
- Fax
- (479) 750-2228
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Care IV Home HealthCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Care IV Home Health in Fayetteville?
04D2140158, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Care IV Home Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2140158 expire?
The CMS file lists November 14, 2027 as the certificate expiration date; the certificate took effect November 15, 2025.