CLIA lab
CLIA 04D2350660: Coker Medical, PLLC
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2350660 belongs to Coker Medical, PLLC in Fayetteville, AR.
Certificate of Waiver, effective September 14, 2026, expires September 13, 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
- September 14, 2026
- Certificate expiration
- September 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 14, 2026
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 04D2350660
- Lab name
- Coker Medical, PLLC
- Address
- 1267 N Steamboat Drive, Suite 3, Fayetteville, AR 72704
- Phone
- (479) 547-9722
- Fax
- (479) 769-3332
Annual test volume the lab reported
- Waived tests
- 4,000
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 Coker Medical, PLLC in Fayetteville?
04D2350660, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coker Medical, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2350660 expire?
The CMS file lists September 13, 2028 as the certificate expiration date; the certificate took effect September 14, 2026.