CLIA lab
CLIA 04D1087968: Willis Clinic PLLC
Osceola, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1087968 belongs to Willis Clinic PLLC in Osceola, AR.
Certificate of Waiver, effective August 14, 2026, expires August 13, 2028.
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
- August 14, 2026
- Certificate expiration
- August 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 14, 2008
- Facility type
- Physician office
- 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
- 04D1087968
- Lab name
- Willis Clinic PLLC
- Address
- 616 West Lee Ave, Osceola, AR 72370
- Phone
- (870) 563-2545
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.
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- SMC Regional Medical Center LLCCertificate of Compliance, Hospital04D0049871
- ST Bernard's Pregnancy Clinic OsceolaCertificate of Waiver, Physician office04D2310470
- ST Bernards Physician Clinics, IncCertificate of Waiver, Physician office04D2157386
- Walmart Pharmacy 10-0074Certificate of Waiver, Pharmacy04D2127835
Related
Questions
What is the CLIA number for Willis Clinic PLLC in Osceola?
04D1087968, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Willis Clinic PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1087968 expire?
The CMS file lists August 13, 2028 as the certificate expiration date; the certificate took effect August 14, 2026.