CLIA lab
CLIA 04D2303173: Baxter Health Cochran Internal Medicine Clinic
Mammoth Spring, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2303173 belongs to Baxter Health Cochran Internal Medicine Clinic in Mammoth Spring, AR.
Certificate of Waiver, effective April 22, 2026, expires April 21, 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
- April 22, 2026
- Certificate expiration
- April 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 22, 2024
- Facility type
- Physician office
- 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
- 04D2303173
- Lab name
- Baxter Health Cochran Internal Medicine Clinic
- Address
- 277 Main St Suite 2, Mammoth Spring, AR 72554
- Phone
- (870) 907-7024
- Fax
- (870) 907-7045
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Baxter Health Cochran Internal Medicine Clinic in Mammoth Spring?
04D2303173, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Baxter Health Cochran Internal Medicine Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2303173 expire?
The CMS file lists April 21, 2028 as the certificate expiration date; the certificate took effect April 22, 2026.