CLIA lab

CLIA 04D2205673: Lafayette County Family Practice

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

CLIA number 04D2205673 belongs to Lafayette County Family Practice in Lewisville, AR.

Certificate for Provider-Performed Microscopy Procedures, effective December 15, 2024, expires December 14, 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 for Provider-Performed Microscopy Procedures
Certificate effective
December 15, 2024
Certificate expiration
December 14, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 15, 2020
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
04D2205673
Lab name
Lafayette County Family Practice
Address
226 Spruce Street, Lewisville, AR 71845
Phone
(870) 921-3950
Fax
(870) 921-3951

Annual test volume the lab reported

Waived tests
2,500
Provider-performed microscopy tests
1,500
Total
4,000

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 Lafayette County Family Practice in Lewisville?

04D2205673, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lafayette County Family Practice hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 04D2205673 expire?

The CMS file lists December 14, 2026 as the certificate expiration date; the certificate took effect December 15, 2024.

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