CLIA lab

CLIA 04D2116741: Centerwell Home Health

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

CLIA number 04D2116741 belongs to Centerwell Home Health in Monticello, AR.

Certificate of Waiver, effective August 1, 2026, expires July 31, 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
August 1, 2026
Certificate expiration
July 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 1, 2016
Facility type
Home health agency
Ownership (control type)
Proprietary
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
04D2116741
Lab name
Centerwell Home Health
Additional name
Kah Development 4, LLC
Address
420 West Gaines Street, Suite 2, Monticello, AR 71655
Phone
(870) 412-4610
Fax
(870) 460-0287

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

  • Kindred at HomeCMS Care Compare ratings for the facility at the same street address

Other labs in Monticello, AR

Related

Questions

What is the CLIA number for Centerwell Home Health in Monticello?

04D2116741, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Centerwell Home Health hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2116741 expire?

The CMS file lists July 31, 2028 as the certificate expiration date; the certificate took effect August 1, 2026.

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