CLIA lab
CLIA 04D0883592: Montgomery County Nursing Home
Mount Ida, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0883592 belongs to Montgomery County Nursing Home in Mount Ida, AR.
Certificate of Waiver, effective March 11, 2026, expires March 10, 2028.
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 11, 2026
- Certificate expiration
- March 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 11, 1994
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, county
- 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
- 04D0883592
- Lab name
- Montgomery County Nursing Home
- Address
- 741 South Drive, Mount Ida, AR 71957
- Phone
- (870) 867-2156
- Fax
- (870) 867-2049
Annual test volume the lab reported
- Waived tests
- 1,470
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Montgomery County Nursing HomeCMS Care Compare ratings for the facility at the same street address
Other labs in Mount Ida, AR
- Chi ST Vincent Medcial Group Hot SpringsCertificate of Compliance, Physician office04D0466068
- Healthy Connections-Montgomery Community ClinicCertificate of Waiver, Federally qualified health center04D1078542
- Montogomery County Assisted LivingCertificate of Waiver, Other04D2196227
- Wagner's Mount Ida PharmacyCertificate of Waiver, Pharmacy04D2138568
Related
Questions
What is the CLIA number for Montgomery County Nursing Home in Mount Ida?
04D0883592, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Montgomery County Nursing Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0883592 expire?
The CMS file lists March 10, 2028 as the certificate expiration date; the certificate took effect March 11, 2026.