CLIA lab

CLIA 04D0677682: Mid-Delta Health Systems - Dewitt

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

CLIA number 04D0677682 belongs to Mid-Delta Health Systems - Dewitt in De Witt, AR.

Certificate for Provider-Performed Microscopy Procedures, effective September 1, 2026, expires August 31, 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 for Provider-Performed Microscopy Procedures
Certificate effective
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 12, 1993
Facility type
Federally qualified health center
Ownership (control type)
Government, other
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
04D0677682
Lab name
Mid-Delta Health Systems - Dewitt
Address
1940 S Whitehead Dr, De Witt, AR 72042
Phone
(870) 946-4505
Fax
(870) 946-3357

Affiliated CLIA numbers

Other labs in De Witt, AR

Related

Questions

What is the CLIA number for Mid-Delta Health Systems - Dewitt in De Witt?

04D0677682, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mid-Delta Health Systems - Dewitt hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 04D0677682 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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