CLIA lab
CLIA 04D2107523: Baxter Health Main Street Family Clinic
Mountain View, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2107523 belongs to Baxter Health Main Street Family Clinic in Mountain View, AR.
Certificate of Waiver, effective January 15, 2026, expires January 14, 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 Waiver
- Certificate effective
- January 15, 2026
- Certificate expiration
- January 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 15, 2016
- Facility type
- Community clinic
- 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
- 04D2107523
- Lab name
- Baxter Health Main Street Family Clinic
- Address
- 803 W Main St, Mountain View, AR 72560
- Phone
- (870) 269-9800
- Fax
- (870) 269-9614
Annual test volume the lab reported
- Waived tests
- 2,500
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
- 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
- DR Andys Family Practice, PLLCCertificate of Waiver, Physician office04D1105574
- 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 Baxter Health Main Street Family Clinic in Mountain View?
04D2107523, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Baxter Health Main Street Family Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2107523 expire?
The CMS file lists January 14, 2028 as the certificate expiration date; the certificate took effect January 15, 2026.