CLIA lab
CLIA 04D2269805: Fayetteville Christian School
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2269805 belongs to Fayetteville Christian School in Fayetteville, AR.
Certificate of Waiver, effective October 4, 2024, expiration date October 3, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 4, 2024
- Certificate expiration
- October 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 4, 2022
- Facility type
- School or student health service
- 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
- 04D2269805
- Lab name
- Fayetteville Christian School
- Address
- 2006 Mission Boulevard, Fayetteville, AR 72703
- Phone
- (479) 442-2565
- Fax
- (479) 207-9435
Annual test volume the lab reported
- Waived tests
- 100
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 Fayetteville Christian School in Fayetteville?
04D2269805, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fayetteville Christian School hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2269805 expire?
The CMS file lists October 3, 2026 as the certificate expiration date; the certificate took effect October 4, 2024.