CLIA lab
CLIA 04D0919791: Delta House, Inc the Icf/Mr
West Helena, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0919791 belongs to Delta House, Inc the Icf/Mr in West Helena, AR.
Certificate of Waiver, effective September 17, 2026, expires September 16, 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
- September 17, 2026
- Certificate expiration
- September 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 17, 1996
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Other
- 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
- 04D0919791
- Lab name
- Delta House, Inc the Icf/Mr
- Address
- 252 Desoto Street, West Helena, AR 72390
- Phone
- (870) 572-4124
- Fax
- (870) 572-4459
Other labs in West Helena, AR
Related
Questions
What is the CLIA number for Delta House, Inc the Icf/Mr in West Helena?
04D0919791, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Delta House, Inc the Icf/Mr hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0919791 expire?
The CMS file lists September 16, 2028 as the certificate expiration date; the certificate took effect September 17, 2026.