CLIA lab
CLIA 04D2191054: Dewitt Nursing Home
De Witt, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2191054 belongs to Dewitt Nursing Home in De Witt, AR.
Certificate of Waiver, effective August 21, 2026, expires August 20, 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
- August 21, 2026
- Certificate expiration
- August 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 2020
- Facility type
- Skilled nursing or nursing facility
- 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
- 04D2191054
- Lab name
- Dewitt Nursing Home
- Address
- 1605 S Madison, De Witt, AR 72042
- Phone
- (870) 233-2252
- Fax
- (870) 946-0018
Annual test volume the lab reported
- Waived tests
- 9,125
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in De Witt, AR
- Baptist Health - Family Clinic DewittCertificate of Waiver, Rural health clinic04D1028354
- Burleson Family Practice ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office04D0929711
- Crestpark Dewitt LLCCertificate of Waiver, Skilled nursing or nursing facility04D0920989
- Dean's PharmacyCertificate of Waiver, Pharmacy04D2188792
- Dewitt Hospital and Nursing HomeCertificate of Compliance, Hospital04D0642180
- Ferguson Rural Health ClinicCertificate of Waiver, Rural health clinic04D0702095
- Mid-Delta Health Systems - DewittCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center04D0677682
Related
Questions
What is the CLIA number for Dewitt Nursing Home in De Witt?
04D2191054, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dewitt Nursing Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2191054 expire?
The CMS file lists August 20, 2028 as the certificate expiration date; the certificate took effect August 21, 2026.