CLIA lab

CLIA 04D1105450: Hope of the Delta

Pine Bluff, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D1105450 belongs to Hope of the Delta in Pine Bluff, AR.

Certificate of Waiver, effective September 23, 2025, expires September 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 Waiver
Certificate effective
September 23, 2025
Certificate expiration
September 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 23, 2009
Facility type
Other
Ownership (control type)
Religious affiliation
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
04D1105450
Lab name
Hope of the Delta
Address
3905 South Hazel, Pine Bluff, AR 71603
Phone
(870) 535-0811
Fax
(870) 535-0812

Annual test volume the lab reported

Waived tests
900

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 Hope of the Delta in Pine Bluff?

04D1105450, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hope of the Delta hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D1105450 expire?

The CMS file lists September 22, 2027 as the certificate expiration date; the certificate took effect September 23, 2025.

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