CLIA lab

CLIA 04D0889073: Boston Mountain Rural Health Center,inc-Huntsville

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

CLIA number 04D0889073 belongs to Boston Mountain Rural Health Center,inc-Huntsville in Huntsville, AR.

Certificate of Waiver, effective August 19, 2026, expires August 18, 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
August 19, 2026
Certificate expiration
August 18, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 19, 1994
Facility type
Federally qualified health center
Ownership (control type)
Government, federal
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
04D0889073
Lab name
Boston Mountain Rural Health Center,inc-Huntsville
Address
934 North Gaskill Street, Huntsville, AR 72740
Phone
(479) 738-5500
Fax
(479) 738-1350

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Huntsville, AR

Related

Questions

What is the CLIA number for Boston Mountain Rural Health Center,inc-Huntsville in Huntsville?

04D0889073, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Boston Mountain Rural Health Center,inc-Huntsville hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0889073 expire?

The CMS file lists August 18, 2028 as the certificate expiration date; the certificate took effect August 19, 2026.

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