CLIA lab
CLIA 04D0994754: Blossoms at White Hall, the
White Hall, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0994754 belongs to Blossoms at White Hall, the in White Hall, AR.
Certificate of Waiver, effective December 28, 2025, expires December 27, 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 28, 2025
- Certificate expiration
- December 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 28, 2001
- Facility type
- Skilled nursing or nursing facility
- 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
- 04D0994754
- Lab name
- Blossoms at White Hall, the
- Additional name
- Dollarway Road Operating LLC
- Address
- 9209 Dollarway Road, White Hall, AR 71602
- Phone
- (870) 247-0800
- Fax
- (870) 247-0802
Annual test volume the lab reported
- Waived tests
- 30,050
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- The Blossoms at White Hall Rehab & Nursing CenterCMS Care Compare ratings for the facility at the same street address
Other labs in White Hall, AR
- Affinity HospiceCertificate of Waiver, Hospice04D2247946
- Affinity Palliative of ArkansasCertificate of Waiver, Other practitioner04D2331370
- Arcare 79Certificate of Waiver, Federally qualified health center04D2119440
- Arkansas Urology - White HallCertificate of Waiver, Physician office04D2272844
- Baptist Health Family Clinic White HallCertificate of Waiver, Physician office04D0906511
- Daily Dose Drugstore IncCertificate of Waiver, Pharmacy04D2246761
- Doctor's Orders Pharmacy 1Certificate of Waiver, Pharmacy04D2185049
- Dollarway Ambulatory Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center04D2265061
- Endocrinology of South ArkansasCertificate of Waiver, Physician office04D0997860
- Family Medicine Walk-In ClinicCertificate of Waiver, Physician office04D2269105
Related
Questions
What is the CLIA number for Blossoms at White Hall, the in White Hall?
04D0994754, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blossoms at White Hall, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0994754 expire?
The CMS file lists December 27, 2027 as the certificate expiration date; the certificate took effect December 28, 2025.