CLIA lab
CLIA 04D2079756: Baptist Health Family Clinic - Caddo Valley
Arkadelphia, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2079756 belongs to Baptist Health Family Clinic - Caddo Valley in Arkadelphia, AR.
Certificate of Waiver, effective June 24, 2026, expires June 23, 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
- June 24, 2026
- Certificate expiration
- June 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 2014
- Facility type
- Rural health 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
- 04D2079756
- Lab name
- Baptist Health Family Clinic - Caddo Valley
- Address
- 10 Montgomery Dr, Arkadelphia, AR 71923
- Phone
- (870) 245-2198
- Fax
- (870) 245-2298
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Arkadelphia, AR
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2279988
- Arkadelphia Clinic for Children & Young AdultsCertificate of Compliance, Physician office04D0466003
- Arkadelphia Diagnostic/R Dorman MDCertificate of Waiver, Physician office04D0466001
- Arkadelphia Human Development CenterCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities04D0920857
- BH Arkadelphia Medical ClinicCertificate of Compliance, Physician office04D0465998
- Baptist Health Medical Center ArkadelphiaCertificate of Compliance, Hospital04D0466006
- Bray Family Medicine, PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office04D2096442
- Clinic for Children & Young AdultsCertificate of Waiver, Physician office04D1091228
- Compass Healthcare, LLCCertificate of Waiver, Physician office04D2066166
- Degray DialysisCertificate of Waiver, End stage renal disease dialysis facility04D0466009
Related
Questions
What is the CLIA number for Baptist Health Family Clinic - Caddo Valley in Arkadelphia?
04D2079756, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Baptist Health Family Clinic - Caddo Valley hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2079756 expire?
The CMS file lists June 23, 2028 as the certificate expiration date; the certificate took effect June 24, 2026.