CLIA lab
CLIA 04D2203965: Blevins School District
Blevins, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2203965 belongs to Blevins School District in Blevins, AR.
Certificate of Waiver, effective December 7, 2024, expires December 6, 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 7, 2024
- Certificate expiration
- December 6, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 7, 2020
- Facility type
- School or student health service
- Ownership (control type)
- Government, state
- 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
- 04D2203965
- Lab name
- Blevins School District
- Address
- 5954 Hwy 29 N, Blevins, AR 71825
- Phone
- (870) 874-2801
- Fax
- (870) 874-2889
Annual test volume the lab reported
- Waived tests
- 1,200
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 Blevins School District in Blevins?
04D2203965, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blevins School District hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2203965 expire?
The CMS file lists December 6, 2026 as the certificate expiration date; the certificate took effect December 7, 2024.