CLIA lab
CLIA 04D0929711: Burleson Family Practice Clinic
De Witt, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0929711 belongs to Burleson Family Practice Clinic in De Witt, AR.
Certificate for Provider-Performed Microscopy Procedures, effective June 23, 2025, expires June 22, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 23, 2025
- Certificate expiration
- June 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 23, 1997
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 04D0929711
- Lab name
- Burleson Family Practice Clinic
- Address
- 705 West 16th, De Witt, AR 72042
- Phone
- (870) 946-1326
Annual test volume the lab reported
- Waived tests
- 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
- 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
- Ferguson Rural Health ClinicCertificate of Waiver, Rural health clinic04D0702095
- Mid-Delta Health Systems - DewittCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center04D0677682
Related
Questions
What is the CLIA number for Burleson Family Practice Clinic in De Witt?
04D0929711, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Burleson Family Practice Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D0929711 expire?
The CMS file lists June 22, 2027 as the certificate expiration date; the certificate took effect June 23, 2025.