CLIA lab
CLIA 04D2090663: Woodridge of West Memphis, LLC
West Memphis, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2090663 belongs to Woodridge of West Memphis, LLC in West Memphis, AR.
Certificate of Waiver, effective January 28, 2025, expires January 27, 2027.
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 28, 2025
- Certificate expiration
- January 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 2015
- Facility type
- Other
- 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
- 04D2090663
- Lab name
- Woodridge of West Memphis, LLC
- Address
- 600 North 7th Street, West Memphis, AR 72301
- Phone
- (870) 394-7100
- Fax
- (870) 394-7270
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- B M A East ArkansasCertificate of Waiver, End stage renal disease dialysis facility04D0859775
- Baptist Memorial Hospital - CrittendenCertificate of Accreditation, Hospital04D2156984
- Behavioral Health WM Operating Subsidiary LLCCertificate of Waiver, Other04D2343577
- Coast To Coast MedicalCertificate of Waiver, Community clinic04D0958040
- Diabetes Care & WellnessCertificate of Waiver, Other practitioner04D2254924
- Diffine Family PracticeCertificate of Waiver, Physician office04D2270114
- East Arkansas Family Health Center SouthCertificate of Waiver, Community clinic04D2281782
- East Arkansas Family Health Center- West MemphisCertificate of Waiver, Other04D0467668
Related
Questions
What is the CLIA number for Woodridge of West Memphis, LLC in West Memphis?
04D2090663, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Woodridge of West Memphis, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2090663 expire?
The CMS file lists January 27, 2027 as the certificate expiration date; the certificate took effect January 28, 2025.