CLIA lab
CLIA 04D2190552: Prescription Pad, the
Monticello, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2190552 belongs to Prescription Pad, the in Monticello, AR.
Certificate of Waiver, effective August 17, 2026, expires August 16, 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 17, 2026
- Certificate expiration
- August 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 2020
- Facility type
- Pharmacy
- 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
- 04D2190552
- Lab name
- Prescription Pad, the
- Additional name
- Southeast Arkansas Pharmacies LLC
- Address
- 539 Highway 425 South, Monticello, AR 71655
- Phone
- (870) 367-4227
- Fax
- (870) 367-4211
Annual test volume the lab reported
- Waived tests
- 1,000
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 Central School Based ClinicCertificate of Waiver, School or student health service04D2136227
Related
Questions
What is the CLIA number for Prescription Pad, the in Monticello?
04D2190552, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prescription Pad, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2190552 expire?
The CMS file lists August 16, 2028 as the certificate expiration date; the certificate took effect August 17, 2026.