CLIA lab

CLIA 04D1061527: Baxter Regional Wound Healing Center

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

CLIA number 04D1061527 belongs to Baxter Regional Wound Healing Center in Mountain Home, AR.

Certificate of Waiver, effective November 20, 2024, expires November 19, 2026.

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
November 20, 2024
Certificate expiration
November 19, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 20, 2006
Facility type
Physician office
Ownership (control type)
Private
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
04D1061527
Lab name
Baxter Regional Wound Healing Center
Address
907 Burnett Drive, Mountain Home, AR 72653
Phone
(870) 424-4935
Fax
(870) 424-4937

Annual test volume the lab reported

Waived tests
800

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

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Related

Questions

What is the CLIA number for Baxter Regional Wound Healing Center in Mountain Home?

04D1061527, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Baxter Regional Wound Healing Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D1061527 expire?

The CMS file lists November 19, 2026 as the certificate expiration date; the certificate took effect November 20, 2024.

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