CLIA lab

CLIA 04D2305702: Community Clinic Central JR High

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

CLIA number 04D2305702 belongs to Community Clinic Central JR High in Springdale, AR.

Certificate of Waiver, effective June 5, 2026, expires June 4, 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 of Waiver
Certificate effective
June 5, 2026
Certificate expiration
June 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 5, 2024
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
04D2305702
Lab name
Community Clinic Central JR High
Address
2811 W Huntsville Ave Suite 1016, Springdale, AR 72762
Phone
(479) 751-7417
Fax
(479) 751-2878

Annual test volume the lab reported

Waived tests
1,750

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 Community Clinic Central JR High in Springdale?

04D2305702, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Community Clinic Central JR High hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2305702 expire?

The CMS file lists June 4, 2028 as the certificate expiration date; the certificate took effect June 5, 2026.

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