CLIA lab

CLIA 04D2159493: Chi ST Vincent Heart Clinic Arkansas Monticello

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

CLIA number 04D2159493 belongs to Chi ST Vincent Heart Clinic Arkansas Monticello in Monticello, AR.

Certificate of Waiver, effective December 19, 2024, expires December 18, 2026.

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
December 19, 2024
Certificate expiration
December 18, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 19, 2018
Facility type
Physician office
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
04D2159493
Lab name
Chi ST Vincent Heart Clinic Arkansas Monticello
Address
766 Hl Ross Dr, Monticello, AR 71655
Phone
(870) 412-4302
Fax
(870) 412-4178

Annual test volume the lab reported

Waived tests
50

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

Other labs in Monticello, AR

Related

Questions

What is the CLIA number for Chi ST Vincent Heart Clinic Arkansas Monticello in Monticello?

04D2159493, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Chi ST Vincent Heart Clinic Arkansas Monticello hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2159493 expire?

The CMS file lists December 18, 2026 as the certificate expiration date; the certificate took effect December 19, 2024.

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