CLIA lab
CLIA 04D1028354: Baptist Health - Family Clinic Dewitt
De Witt, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1028354 belongs to Baptist Health - Family Clinic Dewitt in De Witt, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
- July 22, 2004
- 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
- 04D1028354
- Lab name
- Baptist Health - Family Clinic Dewitt
- Additional name
- Baptist Health Hospitals
- Address
- 1703 South Whitehead Drive, De Witt, AR 72042
- Phone
- (870) 946-0300
- Fax
- (870) 946-0303
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 De Witt, AR
- Burleson Family Practice ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office04D0929711
- 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 Baptist Health - Family Clinic Dewitt in De Witt?
04D1028354, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Baptist Health - Family Clinic Dewitt hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1028354 expire?
The CMS file lists December 16, 2027 as the certificate expiration date; the certificate took effect December 17, 2025.