CLIA lab
CLIA 04D0889292: Mountainburg Family Clinic
Mountainburg, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0889292 belongs to Mountainburg Family Clinic in Mountainburg, AR.
Certificate for Provider-Performed Microscopy Procedures, effective September 24, 2025, expires September 23, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 24, 2025
- Certificate expiration
- September 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 25, 1994
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 04D0889292
- Lab name
- Mountainburg Family Clinic
- Address
- 722 Hwy 282 SW, Mountainburg, AR 72946
- Phone
- (479) 369-2091
- Fax
- (479) 369-4119
Annual test volume the lab reported
- Waived tests
- 3,000
- Provider-performed microscopy tests
- 50
- Total
- 3,050
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Mountainburg Family Clinic in Mountainburg?
04D0889292, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mountainburg Family Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D0889292 expire?
The CMS file lists September 23, 2027 as the certificate expiration date; the certificate took effect September 24, 2025.