CLIA lab
CLIA 04D1015291: Delta Memorial Home Health
Dumas, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1015291 belongs to Delta Memorial Home Health in Dumas, AR.
Certificate of Waiver, effective July 29, 2025, expires July 28, 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
- July 29, 2025
- Certificate expiration
- July 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 29, 2003
- Facility type
- Home health agency
- 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
- 04D1015291
- Lab name
- Delta Memorial Home Health
- Address
- 803 Hwy 65 South, Dumas, AR 71639
- Phone
- (870) 382-4045
- Fax
- (870) 382-6588
Annual test volume the lab reported
- Waived tests
- 520
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Delta Memorial Home Health in Dumas?
04D1015291, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Delta Memorial Home Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1015291 expire?
The CMS file lists July 28, 2027 as the certificate expiration date; the certificate took effect July 29, 2025.