CLIA lab
CLIA 04D1034072: Renal Center of Mountain Home
Mountain Home, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1034072 belongs to Renal Center of Mountain Home in Mountain Home, AR.
Certificate of Waiver, effective February 8, 2025, expires February 7, 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 of Waiver
- Certificate effective
- February 8, 2025
- Certificate expiration
- February 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 23, 2004
- Facility type
- End stage renal disease dialysis 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
- 04D1034072
- Lab name
- Renal Center of Mountain Home
- Address
- 200 East 8th Suite 1, Mountain Home, AR 72653
- Phone
- (870) 508-6500
- Fax
- (870) 508-6550
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arcare 137Certificate of Waiver, Federally qualified health center04D2222761
- Arcare 149Certificate of Waiver, Federally qualified health center04D2329674
- Baxter HealthCertificate of Accreditation, Hospital04D0692424
- Baxter Health College Street Family ClinicCertificate of Waiver, Community clinic04D2310270
- Baxter Health Comprehensive Women's ClinicCertificate for Provider-Performed Microscopy Procedures, Community clinic04D2043524
- Baxter Health Family ClinicCertificate for Provider-Performed Microscopy Procedures, Community clinic04D2003558
- Baxter Health Market Street Family ClinicCertificate for Provider-Performed Microscopy Procedures, Community clinic04D2157727
- Baxter Health Med-Peds ClinicCertificate of Waiver, Community clinic04D2189382
Related
Questions
What is the CLIA number for Renal Center of Mountain Home in Mountain Home?
04D1034072, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Renal Center of Mountain Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1034072 expire?
The CMS file lists February 7, 2027 as the certificate expiration date; the certificate took effect February 8, 2025.