CLIA lab
CLIA 04D2030378: Baxter Health Nephrology Clinic
Mountain Home, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2030378 belongs to Baxter Health Nephrology Clinic in Mountain Home, AR.
Certificate for Provider-Performed Microscopy Procedures, effective September 27, 2025, expires September 26, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 27, 2025
- Certificate expiration
- September 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 27, 2011
- Facility type
- Physician office
- 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
- 04D2030378
- Lab name
- Baxter Health Nephrology Clinic
- Address
- 628 Hospital Drive Suite 1A-1, Mountain Home, AR 72653
- Phone
- (870) 425-1787
- Fax
- (870) 425-2009
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 400
- Total
- 1,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mountain Home, AR
- Access Medical Clinic Arkansas, LLCCertificate of Waiver, Physician office04D2281761
- Air-Evac 12Certificate of Waiver, Ambulance04D1089069
- 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 Baxter Health Nephrology Clinic in Mountain Home?
04D2030378, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Baxter Health Nephrology Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2030378 expire?
The CMS file lists September 26, 2027 as the certificate expiration date; the certificate took effect September 27, 2025.