CLIA lab

CLIA 04D0694319: Arcare 40

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

CLIA number 04D0694319 belongs to Arcare 40 in Hazen, AR.

Certificate of Waiver, effective November 21, 2024, expires November 20, 2026.

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
November 21, 2024
Certificate expiration
November 20, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Other
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
04D0694319
Lab name
Arcare 40
Additional name
White River Rural Health Center
Address
705 Hwy 63, Hazen, AR 72064
Phone
(870) 255-3696
Fax
(870) 255-4061

Annual test volume the lab reported

Waived tests
71

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

Affiliated CLIA numbers

Other labs in Hazen, AR

Related

Questions

What is the CLIA number for Arcare 40 in Hazen?

04D0694319, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Arcare 40 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0694319 expire?

The CMS file lists November 20, 2026 as the certificate expiration date; the certificate took effect November 21, 2024.

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