CLIA lab

CLIA 04D2175916: White River EMS, Inc

Newport, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2175916 belongs to White River EMS, Inc in Newport, AR.

Certificate of Waiver, effective December 4, 2025, expires December 3, 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
December 4, 2025
Certificate expiration
December 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 4, 2019
Facility type
Ambulance
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
04D2175916
Lab name
White River EMS, Inc
Address
1811 N Pecan Street, Newport, AR 72112
Phone
(870) 523-3908
Fax
(870) 523-8974

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for White River EMS, Inc in Newport?

04D2175916, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does White River EMS, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2175916 expire?

The CMS file lists December 3, 2027 as the certificate expiration date; the certificate took effect December 4, 2025.

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