CLIA lab

CLIA 04D0642180: Dewitt Hospital and Nursing Home

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

CLIA number 04D0642180 belongs to Dewitt Hospital and Nursing Home in De Witt, AR.

Certificate of Compliance, effective October 22, 2026, expires October 21, 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 Compliance
Certificate effective
October 22, 2026
Certificate expiration
October 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Hospital
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
04D0642180
Lab name
Dewitt Hospital and Nursing Home
Address
1641 South Whitehead Drive, De Witt, AR 72042
Phone
(870) 233-2207
Fax
(870) 233-2064

Annual test volume the lab reported

Waived tests
6,917
Other nonwaived tests
54,795
Total
61,712

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in De Witt, AR

Related

Questions

What is the CLIA number for Dewitt Hospital and Nursing Home in De Witt?

04D0642180, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dewitt Hospital and Nursing Home hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 04D0642180 expire?

The CMS file lists October 21, 2028 as the certificate expiration date; the certificate took effect October 22, 2026.

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