CLIA lab
CLIA 04D1062379: White River Health Family Care
Mountain View, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1062379 belongs to White River Health Family Care in Mountain View, AR.
Certificate of Waiver, effective December 13, 2024, expires December 12, 2026.
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 13, 2024
- Certificate expiration
- December 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 13, 2006
- 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
- 04D1062379
- Lab name
- White River Health Family Care
- Address
- 105 Case Commons Drive, Mountain View, AR 72560
- Phone
- (870) 269-6495
- Fax
- (870) 269-6497
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 Mountain View, AR
- Amedisys HH of Mountain ViewCertificate of Waiver, Home health agency04D0676334
- Baxter Health Family Clinic at Mountain ViewCertificate of Waiver, Community clinic04D2109813
- Baxter Health Main Street Family ClinicCertificate of Waiver, Community clinic04D2107523
- Blossoms at Mountain ViewCertificate of Waiver, Skilled nursing or nursing facility04D0917452
- Blossoms at Mountain View Assisted Living, theCertificate of Waiver, Assisted living facility04D2195444
- Boston Mountain Rural Health Center - MTN ViewCertificate of Waiver, Federally qualified health center04D2124511
- DR Andys Family Practice, PLLCCertificate of Waiver, Physician office04D1105574
- Fletcher Chiropractic LLCCertificate of Waiver, Other practitioner04D2325971
- James Zini DOCertificate for Provider-Performed Microscopy Procedures, Physician office04D0468320
- Mitchell's Main Street PharmacyCertificate of Waiver, Pharmacy04D2194404
Related
Questions
What is the CLIA number for White River Health Family Care in Mountain View?
04D1062379, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does White River Health Family Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1062379 expire?
The CMS file lists December 12, 2026 as the certificate expiration date; the certificate took effect December 13, 2024.