CLIA lab
CLIA 04D2229479: Mark S King MD PA
Mountain Home, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2229479 belongs to Mark S King MD PA in Mountain Home, AR.
Certificate of Waiver, effective May 23, 2026, expires May 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
- May 23, 2026
- Certificate expiration
- May 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 13, 2021
- 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
- 04D2229479
- Lab name
- Mark S King MD PA
- Address
- 2062 Hwy 62 W, Mountain Home, AR 72653
- Phone
- (870) 425-5464
- Fax
- (870) 425-5465
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Baxter Health Med-Peds ClinicCertificate of Waiver, Community clinic04D2189382
Related
Questions
What is the CLIA number for Mark S King MD PA in Mountain Home?
04D2229479, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mark S King MD PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2229479 expire?
The CMS file lists May 22, 2028 as the certificate expiration date; the certificate took effect May 23, 2026.