CLIA lab
CLIA 04D0691080: Family Medical Center
Walnut Ridge, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0691080 belongs to Family Medical Center in Walnut Ridge, AR.
Certificate of Waiver, effective February 12, 2026, expires February 11, 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
- February 12, 2026
- Certificate expiration
- February 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- 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
- 04D0691080
- Lab name
- Family Medical Center
- Additional name
- Lawrence Memorial Health Foundation, Inc
- Address
- 1309 West Main Street, Walnut Ridge, AR 72476
- Phone
- (870) 886-3211
- Fax
- (870) 886-9027
Annual test volume the lab reported
- Waived tests
- 1,704
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Walnut Ridge, AR
- 1st Choice HealthcareCertificate of Accreditation, Federally qualified health center04D1034083
- Econo-Med of Walnut RidgeCertificate of Waiver, Pharmacy04D2230007
- Lawrence County Family Clinic PACertificate of Compliance, Physician office04D0468171
- Lawrence County Family Clinic PA RHCCertificate of Waiver, Other04D0926696
- Lawrence Hall Health & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility04D0881786
- Lawrence Memorial Health Foundation, IncCertificate of Waiver, School or student health service04D2288497
- Lawrence Memorial HospitalCertificate of Accreditation, Hospital02D0049952
- ST Bernards Pregnancy Clinic Walnut RidgeCertificate of Waiver, Physician office04D2281016
- Walmart Pharmacy 10-0057Certificate of Waiver, Pharmacy04D2130445
- Walnut Ridge Family Medical ClinicCertificate of Compliance, Other practitioner04D2127194
Related
Questions
What is the CLIA number for Family Medical Center in Walnut Ridge?
04D0691080, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0691080 expire?
The CMS file lists February 11, 2028 as the certificate expiration date; the certificate took effect February 12, 2026.