CLIA lab
CLIA 04D1078542: Healthy Connections-Montgomery Community Clinic
Mount Ida, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1078542 belongs to Healthy Connections-Montgomery Community Clinic in Mount Ida, AR.
Certificate of Waiver, effective May 5, 2025, expires May 4, 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
- May 5, 2025
- Certificate expiration
- May 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 11, 2008
- Facility type
- Federally qualified health center
- Ownership (control type)
- Government, other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 13
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D1078542
- Lab name
- Healthy Connections-Montgomery Community Clinic
- Address
- 534 Luzerne Street, Mount Ida, AR 71957
- Phone
- (888) 710-8220
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mount Ida, AR
- Chi ST Vincent Medcial Group Hot SpringsCertificate of Compliance, Physician office04D0466068
- Montgomery County Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility04D0883592
- Montogomery County Assisted LivingCertificate of Waiver, Other04D2196227
- Wagner's Mount Ida PharmacyCertificate of Waiver, Pharmacy04D2138568
Related
Questions
What is the CLIA number for Healthy Connections-Montgomery Community Clinic in Mount Ida?
04D1078542, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Healthy Connections-Montgomery Community Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1078542 expire?
The CMS file lists May 4, 2027 as the certificate expiration date; the certificate took effect May 5, 2025.