CLIA lab

CLIA 04D2241972: Chaffee Crossing Clinic

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

CLIA number 04D2241972 belongs to Chaffee Crossing Clinic in Fort Smith, AR.

Certificate of Waiver, effective November 3, 2025, expires November 2, 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 3, 2025
Certificate expiration
November 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 3, 2021
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
04D2241972
Lab name
Chaffee Crossing Clinic
Address
11300 Hoberts, Fort Smith, AR 72916
Phone
(479) 242-5910
Fax
(479) 242-1469

Annual test volume the lab reported

Waived tests
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 Chaffee Crossing Clinic in Fort Smith?

04D2241972, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Chaffee Crossing Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2241972 expire?

The CMS file lists November 2, 2027 as the certificate expiration date; the certificate took effect November 3, 2025.

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