CLIA lab
CLIA 04D2294418: Advanced Health and Wellness I
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2294418 belongs to Advanced Health and Wellness I in Fayetteville, AR.
Certificate of Waiver, effective November 27, 2025, expires November 26, 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 27, 2025
- Certificate expiration
- November 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 27, 2023
- 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
- 04D2294418
- Lab name
- Advanced Health and Wellness I
- Address
- 3729 N Crossover Rd #107, Fayetteville, AR 72703
- Phone
- (479) 751-7417
- Fax
- (479) 751-2878
Annual test volume the lab reported
- Waived tests
- 2,100
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 Advanced Health and Wellness I in Fayetteville?
04D2294418, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Advanced Health and Wellness I hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2294418 expire?
The CMS file lists November 26, 2027 as the certificate expiration date; the certificate took effect November 27, 2025.