CLIA lab
CLIA 04D0875745: Baptist Health Family Clinic Hazen
Hazen, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0875745 belongs to Baptist Health Family Clinic Hazen in Hazen, AR.
Certificate of Waiver, effective April 22, 2025, expires April 21, 2027.
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 22, 2025
- Certificate expiration
- April 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 31, 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
- 04D0875745
- Lab name
- Baptist Health Family Clinic Hazen
- Additional name
- Baptist Health Hospitals
- Address
- 102 W Front Street, Hazen, AR 72064
- Phone
- (870) 255-3954
- Fax
- (870) 255-3989
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Hazen, AR
Related
Questions
What is the CLIA number for Baptist Health Family Clinic Hazen in Hazen?
04D0875745, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Baptist Health Family Clinic Hazen hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0875745 expire?
The CMS file lists April 21, 2027 as the certificate expiration date; the certificate took effect April 22, 2025.