CLIA lab
CLIA 04D2187783: Baxter Health Willow Street Family Clinic
Harrison, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2187783 belongs to Baxter Health Willow Street Family Clinic in Harrison, AR.
Certificate of Waiver, effective July 8, 2026, expires July 7, 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
- July 8, 2026
- Certificate expiration
- July 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 8, 2020
- Facility type
- Community 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
- 04D2187783
- Lab name
- Baxter Health Willow Street Family Clinic
- Address
- 406 North Willow Street, Harrison, AR 72601
- Phone
- (870) 741-3252
- Fax
- (870) 741-3962
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Harrison, AR
- Advanced Dermatology & Skin Cancer CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D2154565
- Air-Evac 40Certificate of Waiver, Ambulance04D1089081
- Baxter Health Ambulatory Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center04D2321911
- Baxter Health Cardiology Clinic at HarrisonCertificate of Waiver, Physician office04D2298323
- Baxter Health Crossroads Family ClinicCertificate for Provider-Performed Microscopy Procedures, End stage renal disease dialysis facility04D1052983
- Baxter Health Harrison Family PracticeCertificate of Waiver, Physician office04D0690634
- Baxter Health Imaging at HarrisonCertificate of Waiver, Ambulatory surgery center04D2332704
- Baxter Health Mcclintock Family ClinicCertificate of Compliance, Physician office04D0468385
- Baxter Health Premier Family ClinicCertificate of Compliance, Physician office04D1050346
- Baxter Health Urology Clinic at HarrisonCertificate for Provider-Performed Microscopy Procedures, Community clinic04D2274760
Related
Questions
What is the CLIA number for Baxter Health Willow Street Family Clinic in Harrison?
04D2187783, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Baxter Health Willow Street Family Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2187783 expire?
The CMS file lists July 7, 2028 as the certificate expiration date; the certificate took effect July 8, 2026.