CLIA lab
CLIA 04D0924888: Monticello Dialysis
Monticello, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0924888 belongs to Monticello Dialysis in Monticello, AR.
Certificate of Waiver, effective February 10, 2025, expires February 9, 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 Waiver
- Certificate effective
- February 10, 2025
- Certificate expiration
- February 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 1997
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Government, federal
- 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
- 04D0924888
- Lab name
- Monticello Dialysis
- Address
- 774 Jordan Drive, Monticello, AR 71655
- Phone
- (501) 223-5335
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Fmcna - MonticelloCMS Care Compare ratings for the facility at the same street address
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 Monticello Dialysis in Monticello?
04D0924888, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Monticello Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0924888 expire?
The CMS file lists February 9, 2027 as the certificate expiration date; the certificate took effect February 10, 2025.