CLIA lab
CLIA 04D2270114: Diffine Family Practice
West Memphis, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2270114 belongs to Diffine Family Practice in West Memphis, AR.
Certificate of Waiver, effective October 10, 2024, expiration date October 9, 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 10, 2024
- Certificate expiration
- October 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 10, 2022
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2270114
- Lab name
- Diffine Family Practice
- Address
- 111 Dover Rd, West Memphis, AR 72301
- Phone
- (870) 394-5946
- Fax
- (870) 215-0191
Annual test volume the lab reported
- Waived tests
- 900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in West Memphis, AR
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- B M A East ArkansasCertificate of Waiver, End stage renal disease dialysis facility04D0859775
- Baptist Memorial Hospital - CrittendenCertificate of Accreditation, Hospital04D2156984
- Behavioral Health WM Operating Subsidiary LLCCertificate of Waiver, Other04D2343577
- Coast To Coast MedicalCertificate of Waiver, Community clinic04D0958040
- Diabetes Care & WellnessCertificate of Waiver, Other practitioner04D2254924
- East Arkansas Family Health Center SouthCertificate of Waiver, Community clinic04D2281782
- East Arkansas Family Health Center- West MemphisCertificate of Waiver, Other04D0467668
- East Arkansas Medical Group SurgicalCertificate of Waiver, Physician office04D2180636
Related
Questions
What is the CLIA number for Diffine Family Practice in West Memphis?
04D2270114, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Diffine Family Practice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2270114 expire?
The CMS file lists October 9, 2026 as the certificate expiration date; the certificate took effect October 10, 2024.