CLIA lab

CLIA 04D0917452: Blossoms at Mountain View

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

CLIA number 04D0917452 belongs to Blossoms at Mountain View in Mountain View, AR.

Certificate of Waiver, effective July 19, 2026, expires July 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
July 19, 2026
Certificate expiration
July 18, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 19, 1996
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Proprietary
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
04D0917452
Lab name
Blossoms at Mountain View
Address
706 Oak Grove Street, Mountain View, AR 72560
Phone
(870) 269-5835
Fax
(870) 269-2723

Annual test volume the lab reported

Waived tests
6,500

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

Care facility at this address

Other labs in Mountain View, AR

Related

Questions

What is the CLIA number for Blossoms at Mountain View in Mountain View?

04D0917452, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Blossoms at Mountain View hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0917452 expire?

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

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