CLIA lab
CLIA 04D2136227: Drew Central School Based Clinic
Monticello, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2136227 belongs to Drew Central School Based Clinic in Monticello, AR.
Certificate of Waiver, effective September 6, 2025, expires September 5, 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 6, 2025
- Certificate expiration
- September 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 6, 2017
- Facility type
- School or student health service
- 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
- 04D2136227
- Lab name
- Drew Central School Based Clinic
- Additional name
- Mainline Health Systems, Inc
- Address
- 250 University Drive, Monticello, AR 71655
- Phone
- (870) 538-5414
- Fax
- (870) 538-5412
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.
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 County LaboratoryCertificate of Compliance, Hospital04D0693675
Related
Questions
What is the CLIA number for Drew Central School Based Clinic in Monticello?
04D2136227, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Drew Central School Based Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2136227 expire?
The CMS file lists September 5, 2027 as the certificate expiration date; the certificate took effect September 6, 2025.