CLIA lab
CLIA 04D2345827: Ptcoa Mountain View
Hanover, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2345827 belongs to Ptcoa Mountain View in Hanover, AR.
Certificate of Waiver, effective June 18, 2026, expires June 17, 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
- June 18, 2026
- Certificate expiration
- June 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 18, 2026
- 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
- 04D2345827
- Lab name
- Ptcoa Mountain View
- Address
- 2200 East Main Street, Hanover, AR 72560
- Phone
- (844) 215-0731
- Fax
- (501) 242-8370
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.
Related
Questions
What is the CLIA number for Ptcoa Mountain View in Hanover?
04D2345827, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ptcoa Mountain View hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2345827 expire?
The CMS file lists June 17, 2028 as the certificate expiration date; the certificate took effect June 18, 2026.