CLIA lab
CLIA 04D2096874: Skin Surgery Specialists - Mountain Home
Mountain Home, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2096874 belongs to Skin Surgery Specialists - Mountain Home in Mountain Home, AR.
Certificate of Compliance, effective June 17, 2026, expires June 16, 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 Compliance
- Certificate effective
- June 17, 2026
- Certificate expiration
- June 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 3, 2015
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2096874
- Lab name
- Skin Surgery Specialists - Mountain Home
- Address
- 2062 Highway 62 W, Mountain Home, AR 72653
- Phone
- (501) 404-9646
Annual test volume the lab reported
- Other nonwaived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
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 Skin Surgery Specialists - Mountain Home in Mountain Home?
04D2096874, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Skin Surgery Specialists - Mountain Home hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D2096874 expire?
The CMS file lists June 16, 2028 as the certificate expiration date; the certificate took effect June 17, 2026.