CLIA lab
CLIA 04D0702095: Ferguson Rural Health Clinic
De Witt, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0702095 belongs to Ferguson Rural Health Clinic in De Witt, AR.
Certificate of Waiver, effective April 1, 2026, expires March 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 of Waiver
- Certificate effective
- April 1, 2026
- Certificate expiration
- March 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 8, 1993
- 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
- 04D0702095
- Lab name
- Ferguson Rural Health Clinic
- Address
- 1641 South Whitehead Drive, De Witt, AR 72042
- Phone
- (870) 946-3637
- Fax
- (870) 946-4410
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in De Witt, AR
- Baptist Health - Family Clinic DewittCertificate of Waiver, Rural health clinic04D1028354
- Burleson Family Practice ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office04D0929711
- Crestpark Dewitt LLCCertificate of Waiver, Skilled nursing or nursing facility04D0920989
- Dean's PharmacyCertificate of Waiver, Pharmacy04D2188792
- Dewitt Hospital and Nursing HomeCertificate of Compliance, Hospital04D0642180
- Dewitt Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility04D2191054
- Mid-Delta Health Systems - DewittCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center04D0677682
Related
Questions
What is the CLIA number for Ferguson Rural Health Clinic in De Witt?
04D0702095, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ferguson Rural Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0702095 expire?
The CMS file lists March 31, 2028 as the certificate expiration date; the certificate took effect April 1, 2026.