CLIA lab
CLIA 04D2317302: Boston MTN Rural Health Center Inc - HV Sbhc
Huntsville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2317302 belongs to Boston MTN Rural Health Center Inc - HV Sbhc in Huntsville, AR.
Certificate of Waiver, effective January 22, 2025, expires January 21, 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
- January 22, 2025
- Certificate expiration
- January 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 22, 2025
- 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
- 04D2317302
- Lab name
- Boston MTN Rural Health Center Inc - HV Sbhc
- Address
- 403 Polk St, Huntsville, AR 72740
- Phone
- (479) 738-1583
- Fax
- (479) 738-1350
Annual test volume the lab reported
- Waived tests
- 500
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 Boston MTN Rural Health Center Inc - HV Sbhc in Huntsville?
04D2317302, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Boston MTN Rural Health Center Inc - HV Sbhc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2317302 expire?
The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.