CLIA lab
CLIA 04D2307944: Community Clinic West Fork
West Fork, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2307944 belongs to Community Clinic West Fork in West Fork, AR.
Certificate of Waiver, effective July 17, 2026, expires July 16, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 17, 2026
- Certificate expiration
- July 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 17, 2024
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- 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
- 04D2307944
- Lab name
- Community Clinic West Fork
- Address
- 245 School Ave, Ste A, West Fork, AR 72774
- Phone
- (479) 751-7417
- Fax
- (479) 751-2878
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in West Fork, AR
Related
Questions
What is the CLIA number for Community Clinic West Fork in West Fork?
04D2307944, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Community Clinic West Fork hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2307944 expire?
The CMS file lists July 16, 2028 as the certificate expiration date; the certificate took effect July 17, 2026.