CLIA lab
CLIA 04D2178010: Hiram Shaddox Health and Rehab
Mountain Home, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2178010 belongs to Hiram Shaddox Health and Rehab in Mountain Home, AR.
Certificate of Waiver, effective January 23, 2026, expires January 22, 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 23, 2026
- Certificate expiration
- January 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 23, 2020
- Facility type
- Skilled nursing or nursing facility
- 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
- 04D2178010
- Lab name
- Hiram Shaddox Health and Rehab
- Additional name
- Mhpnc, Inc
- Address
- 1100 Pine Tree Lane, Mountain Home, AR 72653
- Phone
- (870) 232-0320
- Fax
- (870) 232-0328
Annual test volume the lab reported
- Waived tests
- 34,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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 Hiram Shaddox Health and Rehab in Mountain Home?
04D2178010, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hiram Shaddox Health and Rehab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2178010 expire?
The CMS file lists January 22, 2028 as the certificate expiration date; the certificate took effect January 23, 2026.