04D1060221 CLIA NUMBER - WHITE RIVER HEALTH FAMILY CARE

Laboratory Demographics

  • CLIA Code: 04D1060221
  • Facility Name: WHITE RIVER HEALTH FAMILY CARE
  • Facility Address: 2200 MALCOLM AVENUE SUITE B
    NEWPORT, AR
    ZIP 72112
  • Facility Phone: 870 512-2500
  • Facility Type: Rural Health Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRISTIE D. WYATT
  • NPI Number: 1225132889
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D1060221
LAB Type Rural Health Clinic
Facility Name WHITE RIVER HEALTH FAMILY CARE
Street 2200 MALCOLM AVENUE SUITE B
City NEWPORT
State AR
ZIP 72112
Phone 870 512-2500
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Rural Health Clinic
Lab Director CHRISTIE D. WYATT

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This page was last updated on: 9/29/2025