CLIA lab
CLIA 04D2193107: Kirby School District School Based Health Clinic
Kirby, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2193107 belongs to Kirby School District School Based Health Clinic in Kirby, AR.
Certificate of Waiver, effective September 17, 2026, expires September 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
- September 17, 2026
- Certificate expiration
- September 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 17, 2020
- 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
- 04D2193107
- Lab name
- Kirby School District School Based Health Clinic
- Address
- 2614 Hwy 27 N, Kirby, AR 71950
- Phone
- (870) 398-4211
- Fax
- (870) 398-4626
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Kirby School District School Based Health Clinic in Kirby?
04D2193107, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kirby School District School Based Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2193107 expire?
The CMS file lists September 16, 2028 as the certificate expiration date; the certificate took effect September 17, 2026.