CLIA lab
CLIA 04D2264563: Community Clinic Centerton Medical
Centerton, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2264563 belongs to Community Clinic Centerton Medical in Centerton, AR.
Certificate for Provider-Performed Microscopy Procedures, effective July 15, 2026, expires July 14, 2028.
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
- July 15, 2026
- Certificate expiration
- July 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 15, 2022
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2264563
- Lab name
- Community Clinic Centerton Medical
- Address
- 314 E Centerton Blvd, Centerton, AR 72719
- Phone
- (479) 751-7417
- Fax
- (479) 751-2878
Annual test volume the lab reported
- Waived tests
- 2,750
- Provider-performed microscopy tests
- 100
- Total
- 2,850
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Centerton, AR
- Applecreek Health & Rehab LLCCertificate of Waiver, Skilled nursing or nursing facility04D2129205
- Collier Drug - CentertonCertificate of Waiver, Pharmacy04D2275319
- Medmobile PLLCCertificate of Waiver, Independent04D2323389
- Mercy Clinic CentertonCertificate of Waiver, Community clinic04D1028338
- Northwest Family Medicine CentertonCertificate of Waiver, Physician office04D2016983
- Phipps Chiropractic and RehabilitationCertificate of Waiver, Other practitioner04D2236272
Related
Questions
What is the CLIA number for Community Clinic Centerton Medical in Centerton?
04D2264563, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Community Clinic Centerton Medical hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2264563 expire?
The CMS file lists July 14, 2028 as the certificate expiration date; the certificate took effect July 15, 2026.