04D2119423 CLIA NUMBER - WHITE RIVER HEALTH FAMILY CARE

Laboratory Demographics

  • CLIA Code: 04D2119423
  • Facility Name: WHITE RIVER HEALTH FAMILY CARE
  • Facility Address: 1217 BATESVILLE BLVD
    BATESVILLE, AR
    ZIP 72501
  • Facility Phone: 870 262-2800
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRISTIE D. WYATT
  • NPI Number: 1104275486
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2119423
LAB Type Physician Office
Facility Name WHITE RIVER HEALTH FAMILY CARE
Street 1217 BATESVILLE BLVD
City BATESVILLE
State AR
ZIP 72501
Phone 870 262-2800
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 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Physician Office
Lab Director CHRISTIE D. WYATT

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