CLIA lab
CLIA 04D2299381: Jefferson Regional Specialty Hospital
White Hall, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2299381 belongs to Jefferson Regional Specialty Hospital in White Hall, AR.
Certificate of Waiver, effective February 20, 2026, expires February 19, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 20, 2026
- Certificate expiration
- February 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 20, 2024
- 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
- 04D2299381
- Lab name
- Jefferson Regional Specialty Hospital
- Address
- 1500 W Holland Ave, White Hall, AR 71602
- Phone
- (870) 930-6500
- Fax
- (870) 939-6510
Annual test volume the lab reported
- Waived tests
- 15,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in White Hall, AR
- Affinity HospiceCertificate of Waiver, Hospice04D2247946
- Affinity Palliative of ArkansasCertificate of Waiver, Other practitioner04D2331370
- Arcare 79Certificate of Waiver, Federally qualified health center04D2119440
- Arkansas Urology - White HallCertificate of Waiver, Physician office04D2272844
- Baptist Health Family Clinic White HallCertificate of Waiver, Physician office04D0906511
- Blossoms at White Hall, theCertificate of Waiver, Skilled nursing or nursing facility04D0994754
- Daily Dose Drugstore IncCertificate of Waiver, Pharmacy04D2246761
- Doctor's Orders Pharmacy 1Certificate of Waiver, Pharmacy04D2185049
- Dollarway Ambulatory Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center04D2265061
- Endocrinology of South ArkansasCertificate of Waiver, Physician office04D0997860
Related
Questions
What is the CLIA number for Jefferson Regional Specialty Hospital in White Hall?
04D2299381, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferson Regional Specialty Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2299381 expire?
The CMS file lists February 19, 2028 as the certificate expiration date; the certificate took effect February 20, 2026.