CLIA lab
CLIA 04D1024460: White River Healthcare
Calico Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1024460 belongs to White River Healthcare in Calico Rock, AR.
Certificate of Waiver, effective September 26, 2025, expires September 25, 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
- September 26, 2025
- Certificate expiration
- September 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 13, 2004
- 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
- 04D1024460
- Lab name
- White River Healthcare
- Address
- 1569 Ar Hwy 56, Calico Rock, AR 72519
- Phone
- (870) 297-3719
- Fax
- (870) 297-3732
Annual test volume the lab reported
- Waived tests
- 9,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- White River HealthcareCMS Care Compare ratings for the facility at the same street address
Other labs in Calico Rock, AR
- Baxter Health Family Clinic at Calico RockCertificate of Waiver, Community clinic04D2137585
- Elite Home HealthCertificate of Waiver, Home health agency04D1089266
- Izard Regional HospitalCertificate of Compliance, Hospital04D0642313
- Izard Regional HospitalCertificate of Waiver, Rural health clinic04D1091240
- Mitchell's Park Street Pharmacy, IncCertificate of Waiver, Pharmacy04D2235853
Related
Questions
What is the CLIA number for White River Healthcare in Calico Rock?
04D1024460, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does White River Healthcare hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1024460 expire?
The CMS file lists September 25, 2027 as the certificate expiration date; the certificate took effect September 26, 2025.