CLIA lab

CLIA 04D2235929: Community Clinic

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

CLIA number 04D2235929 belongs to Community Clinic in Springdale, AR.

Certificate of Waiver, effective September 14, 2025, expires September 13, 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
September 14, 2025
Certificate expiration
September 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 14, 2021
Facility type
Federally qualified health center
Ownership (control type)
Private
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
04D2235929
Lab name
Community Clinic
Additional name
Don Tyson School of Innovation
Address
2667 Hylton Road Office # 604, Springdale, AR 72764
Phone
(479) 751-7417
Fax
(479) 751-2878

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Springdale, AR

Related

Questions

What is the CLIA number for Community Clinic in Springdale?

04D2235929, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Community Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2235929 expire?

The CMS file lists September 13, 2027 as the certificate expiration date; the certificate took effect September 14, 2025.

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