CLIA lab
CLIA 04D2172038: Whites Family Clinic
Ashdown, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2172038 belongs to Whites Family Clinic in Ashdown, AR.
Certificate of Waiver, effective September 13, 2025, expires September 12, 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
- September 13, 2025
- Certificate expiration
- September 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 2019
- 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
- 04D2172038
- Lab name
- Whites Family Clinic
- Address
- 418 North 2nd St, Ashdown, AR 71822
- Phone
- (870) 898-0002
- Fax
- (870) 600-4060
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ashdown, AR
- Cardinal Care ClinicCertificate of Waiver, Physician office04D2313318
- Family Medical AssociatesCertificate for Provider-Performed Microscopy Procedures, Physician office04D1045171
- Little River Memorial HospitalCertificate of Compliance, Hospital04D0465694
- Little River Memorial Hospital Home HealthCertificate of Waiver, Home health agency04D0921731
- Little River Nursing & RehabCertificate of Waiver, Skilled nursing or nursing facility04D0465693
- Memorial Medical ClinicCertificate of Waiver, Physician office04D2158098
- Pleasant Manor Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility04D0874275
- Quadmed Llc/Domtar ClinicCertificate of Waiver, Physician office04D2038315
- Rachel C King, MD PACertificate of Waiver, Physician office04D2066170
- Southern Grace Healthcare IncCertificate of Waiver, Other practitioner04D2240383
Related
Questions
What is the CLIA number for Whites Family Clinic in Ashdown?
04D2172038, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Whites Family Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2172038 expire?
The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.