CLIA lab

CLIA 04D2269763: Changes Behavioral Health LLC

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

CLIA number 04D2269763 belongs to Changes Behavioral Health LLC in Wynne, AR.

Certificate of Waiver, effective October 3, 2024, expiration date October 2, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
October 3, 2024
Certificate expiration
October 2, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 3, 2022
Facility type
Other
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
04D2269763
Lab name
Changes Behavioral Health LLC
Address
204 Mississippi St, Wynne, AR 72396
Phone
(901) 570-0556
Fax
(870) 208-8044

Annual test volume the lab reported

Waived tests
600

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 Changes Behavioral Health LLC in Wynne?

04D2269763, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Changes Behavioral Health LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2269763 expire?

The CMS file lists October 2, 2026 as the certificate expiration date; the certificate took effect October 3, 2024.

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