CLIA lab
CLIA 04D2126570: Boston Mountain Rural Health Center-Nemo Vista
Center Ridge, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2126570 belongs to Boston Mountain Rural Health Center-Nemo Vista in Center Ridge, AR.
Certificate of Waiver, effective March 1, 2025, expires February 28, 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
- March 1, 2025
- Certificate expiration
- February 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 1, 2017
- Facility type
- Federally qualified health center
- Ownership (control type)
- Government, federal
- 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
- 04D2126570
- Lab name
- Boston Mountain Rural Health Center-Nemo Vista
- Address
- 1094 Catholic Point Rd, Center Ridge, AR 72027
- Phone
- (870) 448-5733
- Fax
- (870) 448-5736
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Boston Mountain Rural Health Center-Nemo Vista in Center Ridge?
04D2126570, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Boston Mountain Rural Health Center-Nemo Vista hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2126570 expire?
The CMS file lists February 28, 2027 as the certificate expiration date; the certificate took effect March 1, 2025.