CLIA lab

CLIA 04D2202764: Sheridan Family Clinic

Sheridan, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2202764 belongs to Sheridan Family Clinic in Sheridan, AR.

Certificate of Waiver, effective December 1, 2024, expires November 30, 2026.

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
December 1, 2024
Certificate expiration
November 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 1, 2020
Facility type
Other practitioner
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
04D2202764
Lab name
Sheridan Family Clinic
Address
109 W Pine St Ste A, Sheridan, AR 72150
Phone
(870) 917-5572

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 Sheridan, AR

Related

Questions

What is the CLIA number for Sheridan Family Clinic in Sheridan?

04D2202764, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sheridan Family Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2202764 expire?

The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.

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