CLIA lab
CLIA 04D1055965: Outpatient Surgery Center Inc
Mountain Home, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1055965 belongs to Outpatient Surgery Center Inc in Mountain Home, AR.
Certificate of Waiver, effective June 30, 2026, expires June 29, 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
- June 30, 2026
- Certificate expiration
- June 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 30, 2006
- Facility type
- Ambulatory surgery center
- 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
- 04D1055965
- Lab name
- Outpatient Surgery Center Inc
- Address
- 160 Highway 201 North, Mountain Home, AR 72653
- Phone
- (870) 424-2020
- Fax
- (870) 425-4840
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 149Certificate of Waiver, Federally qualified health center04D2329674
- Baxter HealthCertificate of Accreditation, Hospital04D0692424
- Baxter Health College Street Family ClinicCertificate of Waiver, Community clinic04D2310270
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- 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 Outpatient Surgery Center Inc in Mountain Home?
04D1055965, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Outpatient Surgery Center Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1055965 expire?
The CMS file lists June 29, 2028 as the certificate expiration date; the certificate took effect June 30, 2026.