CLIA lab
CLIA 04D2286554: Depaul Community Health
Gould, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2286554 belongs to Depaul Community Health in Gould, AR.
Certificate of Waiver, effective August 1, 2025, expires July 31, 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
- August 1, 2025
- Certificate expiration
- July 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 1, 2023
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 04D2286554
- Lab name
- Depaul Community Health
- Additional name
- Marillac Community Health Centers
- Address
- 407 South Gould Avenue, Gould, AR 71643
- Phone
- (870) 382-3080
- Fax
- (870) 382-3085
Annual test volume the lab reported
- Waived tests
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Depaul Community Health in Gould?
04D2286554, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Depaul Community Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2286554 expire?
The CMS file lists July 31, 2027 as the certificate expiration date; the certificate took effect August 1, 2025.