CLIA lab

CLIA 04D1030816: Baxter Regional Cardiovascular Clinic

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

CLIA number 04D1030816 belongs to Baxter Regional Cardiovascular Clinic in Mountain Home, AR.

Certificate of Waiver, effective September 17, 2026, expires September 16, 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
September 17, 2026
Certificate expiration
September 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 17, 2004
Facility type
Physician office
Ownership (control type)
Private
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
04D1030816
Lab name
Baxter Regional Cardiovascular Clinic
Address
555 West 6th Street, Mountain Home, AR 72653
Phone
(870) 425-8288
Fax
(870) 425-8299

Annual test volume the lab reported

Waived tests
500

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

Affiliated CLIA numbers

Other labs in Mountain Home, AR

Related

Questions

What is the CLIA number for Baxter Regional Cardiovascular Clinic in Mountain Home?

04D1030816, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Baxter Regional Cardiovascular Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D1030816 expire?

The CMS file lists September 16, 2028 as the certificate expiration date; the certificate took effect September 17, 2026.

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