CLIA lab
CLIA 04D2174965: Langford at Fayetteville
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2174965 belongs to Langford at Fayetteville in Fayetteville, AR.
Certificate of Waiver, effective November 13, 2025, expires November 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
- November 13, 2025
- Certificate expiration
- November 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 13, 2019
- Facility type
- Assisted living facility
- 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
- 04D2174965
- Lab name
- Langford at Fayetteville
- Additional name
- BFG Fayetteville Propco, LLC
- Address
- 3434 N Crossover Rd, Fayetteville, AR 72703
- Phone
- (479) 334-3364
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arkansas Outpatient Eye Surgery LLCCertificate of Waiver, Ambulatory surgery center04D1048911
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Related
Questions
What is the CLIA number for Langford at Fayetteville in Fayetteville?
04D2174965, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Langford at Fayetteville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2174965 expire?
The CMS file lists November 12, 2027 as the certificate expiration date; the certificate took effect November 13, 2025.