CLIA lab
CLIA 04D2275300: Delta Behavioral Health LLC
Blytheville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2275300 belongs to Delta Behavioral Health LLC in Blytheville, AR.
Certificate of Waiver, effective January 19, 2025, expires January 18, 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
- January 19, 2025
- Certificate expiration
- January 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 19, 2023
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2275300
- Lab name
- Delta Behavioral Health LLC
- Address
- 833 E Mail Street Suite A, Blytheville, AR 72315
- Phone
- (870) 824-6684
- Fax
- (870) 824-6685
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Blytheville, AR
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2289685
- Adult Medicine Clinic of BlythevilleCertificate of Waiver, Physician office04D1053557
- Air-Evac 113Certificate of Waiver, Ambulance04D2064713
- Allied Health Connect Associates LLCCertificate of Waiver, Public health laboratory04D2288387
- B M A BlythevilleCertificate of Waiver, End stage renal disease dialysis facility04D0942154
- Constance H Smith MD PACertificate of Waiver, Physician office04D2049073
- Doc Network - Nucor Yamato Stell Clinic, theCertificate of Waiver, Physician office04D2223423
- Everside Health Blytheville Ar ClinicCertificate of Waiver, Other04D2258358
- Family Medicine Assoc of BlythevilleCertificate of Compliance, Physician office04D0467710
- Fast Pace HealthCertificate of Waiver, Other04D2305580
Related
Questions
What is the CLIA number for Delta Behavioral Health LLC in Blytheville?
04D2275300, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Delta Behavioral Health LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2275300 expire?
The CMS file lists January 18, 2027 as the certificate expiration date; the certificate took effect January 19, 2025.