CLIA lab
CLIA 04D0911976: Baptist Health Family Clinic Brinkley
Brinkley, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0911976 belongs to Baptist Health Family Clinic Brinkley in Brinkley, AR.
Certificate of Waiver, effective February 20, 2026, expires February 19, 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
- February 20, 2026
- Certificate expiration
- February 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 20, 1996
- 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
- 04D0911976
- Lab name
- Baptist Health Family Clinic Brinkley
- Address
- 110 North New York Street, Brinkley, AR 72021
- Phone
- (870) 734-4405
- Fax
- (870) 734-3438
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Baptist Health Family Clinic Brinkley in Brinkley?
04D0911976, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Baptist Health Family Clinic Brinkley hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0911976 expire?
The CMS file lists February 19, 2028 as the certificate expiration date; the certificate took effect February 20, 2026.