CLIA lab
CLIA 04D1092014: White River Health Family Care
Newark, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1092014 belongs to White River Health Family Care in Newark, AR.
Certificate of Waiver, effective January 5, 2026, expires January 4, 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
- January 5, 2026
- Certificate expiration
- January 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 14, 2008
- Facility type
- Physician office
- 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
- 04D1092014
- Lab name
- White River Health Family Care
- Address
- 501 Vine Street, Newark, AR 72562
- Phone
- (870) 799-3299
- Fax
- (870) 799-8924
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for White River Health Family Care in Newark?
04D1092014, 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 04D1092014 expire?
The CMS file lists January 4, 2028 as the certificate expiration date; the certificate took effect January 5, 2026.