CLIA lab

CLIA 04D2286434: Baxter Health Repell Diabetes Clinic

Mountain Home, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2286434 belongs to Baxter Health Repell Diabetes Clinic in Mountain Home, AR.

Certificate of Waiver, effective July 28, 2025, expires July 27, 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
July 28, 2025
Certificate expiration
July 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 28, 2023
Facility type
Community clinic
Ownership (control type)
Private
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
04D2286434
Lab name
Baxter Health Repell Diabetes Clinic
Address
622 Broadmore Drive, Mountain Home, AR 72653
Phone
(870) 508-1765
Fax
(870) 508-1679

Annual test volume the lab reported

Waived tests
2,000

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

Related

Questions

What is the CLIA number for Baxter Health Repell Diabetes Clinic in Mountain Home?

04D2286434, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Baxter Health Repell Diabetes Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2286434 expire?

The CMS file lists July 27, 2027 as the certificate expiration date; the certificate took effect July 28, 2025.

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