CLIA lab
CLIA 04D1105574: DR Andys Family Practice, PLLC
Mountain View, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1105574 belongs to DR Andys Family Practice, PLLC in Mountain View, AR.
Certificate of Waiver, effective September 25, 2025, expires September 24, 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
- September 25, 2025
- Certificate expiration
- September 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 2009
- 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
- 04D1105574
- Lab name
- DR Andys Family Practice, PLLC
- Address
- 1809 Ozarka College Drive, Mountain View, AR 72560
- Phone
- (870) 269-7777
- Fax
- (870) 269-5055
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mountain View, AR
- Amedisys HH of Mountain ViewCertificate of Waiver, Home health agency04D0676334
- Baxter Health Family Clinic at Mountain ViewCertificate of Waiver, Community clinic04D2109813
- Baxter Health Main Street Family ClinicCertificate of Waiver, Community clinic04D2107523
- Blossoms at Mountain ViewCertificate of Waiver, Skilled nursing or nursing facility04D0917452
- Blossoms at Mountain View Assisted Living, theCertificate of Waiver, Assisted living facility04D2195444
- Boston Mountain Rural Health Center - MTN ViewCertificate of Waiver, Federally qualified health center04D2124511
- Fletcher Chiropractic LLCCertificate of Waiver, Other practitioner04D2325971
- James Zini DOCertificate for Provider-Performed Microscopy Procedures, Physician office04D0468320
- Mitchell's Main Street PharmacyCertificate of Waiver, Pharmacy04D2194404
- Stone County Family Medicine ClinicCertificate of Waiver, Community clinic04D0468326
Related
Questions
What is the CLIA number for DR Andys Family Practice, PLLC in Mountain View?
04D1105574, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DR Andys Family Practice, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1105574 expire?
The CMS file lists September 24, 2027 as the certificate expiration date; the certificate took effect September 25, 2025.