CLIA lab
CLIA 04D2166125: Ashley Family Clinic
Crossett, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2166125 belongs to Ashley Family Clinic in Crossett, AR.
Certificate of Waiver, effective May 13, 2025, expires May 12, 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
- May 13, 2025
- Certificate expiration
- May 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 13, 2019
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2166125
- Lab name
- Ashley Family Clinic
- Address
- 124 Ray Lochala Road, Crossett, AR 71635
- Phone
- (870) 364-0590
- Fax
- (870) 305-4281
Annual test volume the lab reported
- Waived tests
- 750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Crossett, AR
- Acmc Family Home HealthCertificate of Waiver, Home health agency04D0710997
- Ashley County Medical CenterCertificate of Accreditation, Hospital04D0701990
- Ashley DialysisCertificate of Waiver, End stage renal disease dialysis facility04D0987053
- Ashley Health ServicesCertificate of Waiver, Rural health clinic04D0994214
- Ashley Women's ServicesCertificate of Waiver, Hospital04D0971493
- Central Arkansas Radiation Therapy InstituteCertificate of Accreditation, Physician office04D2177408
- City of Crossett Fire Dept Paramedic Ambulance SVCertificate of Waiver, Ambulance04D2049594
- Family Clinic of Ashley County PACertificate of Compliance, Physician office04D0465341
- Gammel's Clinic PharmacyCertificate of Waiver, Pharmacy04D0952061
- Healing Hands Addiction CenterCertificate of Waiver, Physician office04D2199261
Related
Questions
What is the CLIA number for Ashley Family Clinic in Crossett?
04D2166125, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ashley Family Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2166125 expire?
The CMS file lists May 12, 2027 as the certificate expiration date; the certificate took effect May 13, 2025.