CLIA lab
CLIA 04D1089240: Jefferson Homecare
White Hall, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1089240 belongs to Jefferson Homecare in White Hall, AR.
Certificate of Waiver, effective September 12, 2026, expires September 11, 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
- September 12, 2026
- Certificate expiration
- September 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 12, 2008
- Facility type
- Home health agency
- 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
- 04D1089240
- Lab name
- Jefferson Homecare
- Additional name
- Jefferson Regional Homecare, LLC
- Address
- 232 Frankie Lane, White Hall, AR 71602
- Phone
- (870) 534-3420
- Fax
- (870) 534-4843
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.
Care facility at this address
- Jefferson HomecareCMS 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
- Blossoms at White Hall, theCertificate of Waiver, Skilled nursing or nursing facility04D0994754
- 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
Related
Questions
What is the CLIA number for Jefferson Homecare in White Hall?
04D1089240, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferson Homecare hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1089240 expire?
The CMS file lists September 11, 2028 as the certificate expiration date; the certificate took effect September 12, 2026.