CLIA lab
CLIA 04D0941101: White River Health Family Medicine
Cherokee Village, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0941101 belongs to White River Health Family Medicine in Cherokee Village, AR.
Certificate of Waiver, effective December 17, 2025, expires December 16, 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
- December 17, 2025
- Certificate expiration
- December 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 20, 1998
- Facility type
- Community clinic
- Ownership (control type)
- Private
- 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
- 04D0941101
- Lab name
- White River Health Family Medicine
- Address
- 197 Hospital Drive Suite B, Cherokee Village, AR 72529
- Phone
- (870) 257-5118
- Fax
- (870) 257-6215
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Cherokee Village, AR
- Econo-Med PharmacyCertificate of Waiver, Pharmacy04D2183206
- Midway Medical ClinicCertificate of Waiver, Rural health clinic04D0673171
- Nea Baptist Clinic Cherokee VillageCertificate of Waiver, Physician office04D1059041
- Ptcoa Cherokee VillageCertificate of Waiver, Physician office04D2345825
- Spring River Paramedic Ambulance Service IncCertificate of Waiver, Ambulance04D0896727
- Wrmc Medical Complex LaboratoryCertificate of Compliance, Community clinic04D1048934
Related
Questions
What is the CLIA number for White River Health Family Medicine in Cherokee Village?
04D0941101, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does White River Health Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0941101 expire?
The CMS file lists December 16, 2027 as the certificate expiration date; the certificate took effect December 17, 2025.