CLIA lab
CLIA 04D0465417: Jefferson Regional Monticello Medical Clinic
Monticello, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0465417 belongs to Jefferson Regional Monticello Medical Clinic in Monticello, AR.
Certificate of Accreditation, effective December 23, 2025, expires December 22, 2027.
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 Accreditation
- Certificate effective
- December 23, 2025
- Certificate expiration
- December 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 13, 1993
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- COLA
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0465417
- Lab name
- Jefferson Regional Monticello Medical Clinic
- Address
- 906 Roberts Drive, Monticello, AR 71655
- Phone
- (870) 367-6867
Annual test volume the lab reported
- Waived tests
- 10,400
- Tests under accreditation
- 25,320
- Total
- 35,720
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Monticello, AR
- Belle View Estates Rehab-CareCertificate of Waiver, Skilled nursing or nursing facility04D2009491
- Centers for Youth & Families, theCertificate of Waiver, Other04D2056378
- Centerwell Home HealthCertificate of Waiver, Home health agency04D2116741
- Chi ST Vincent Heart Clinic Arkansas MonticelloCertificate of Waiver, Physician office04D2159493
- Clear Choice Diagnostic CenterCertificate of Waiver, Independent04D2255521
- Clinic Pharmacy of MonticelloCertificate of Waiver, Pharmacy04D2313009
- Connelley Family Medical, PLLCCertificate of Waiver, Other practitioner04D2162005
- Cornerstone Clinic for Women - MonticelloCertificate of Waiver, Physician office04D2343900
- Delta Counseling Associates IncCertificate of Waiver, Other04D2246753
- Drew Central School Based ClinicCertificate of Waiver, School or student health service04D2136227
Related
Questions
What is the CLIA number for Jefferson Regional Monticello Medical Clinic in Monticello?
04D0465417, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferson Regional Monticello Medical Clinic hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 04D0465417 expire?
The CMS file lists December 22, 2027 as the certificate expiration date; the certificate took effect December 23, 2025.