CLIA lab

CLIA 04D2216837: Delta Pain Management

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

CLIA number 04D2216837 belongs to Delta Pain Management in Pine Bluff, AR.

Certificate of Waiver, effective March 16, 2025, expires March 15, 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
March 16, 2025
Certificate expiration
March 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 16, 2021
Facility type
Physician office
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
04D2216837
Lab name
Delta Pain Management
Address
1801 W 40th Avenue, Suite C, Pine Bluff, AR 71603
Phone
(870) 395-7323
Fax
(870) 395-7324

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.

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Related

Questions

What is the CLIA number for Delta Pain Management in Pine Bluff?

04D2216837, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Delta Pain Management hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2216837 expire?

The CMS file lists March 15, 2027 as the certificate expiration date; the certificate took effect March 16, 2025.

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