04D2043524 CLIA NUMBER - BAXTER HEALTH COMPREHENSIVE WOMEN'S CLINIC

Laboratory Demographics

  • CLIA Code: 04D2043524
  • Facility Name: BAXTER HEALTH COMPREHENSIVE WOMEN'S CLINIC
  • Facility Address: 505 HOSPITAL DRIVE, SUITE 1
    MOUNTAIN HOME, AR
    ZIP 72653
  • Facility Phone: 870 508-3260
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. MAUREEN FLOWERS
  • NPI Number: 1093242000
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 04D2043524
LAB Type Community Clinic
Facility Name BAXTER HEALTH COMPREHENSIVE WOMEN'S CLINIC
Street 505 HOSPITAL DRIVE, SUITE 1
City MOUNTAIN HOME
State AR
ZIP 72653
Phone 870 508-3260
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Community Clinic
Lab Director DR. MAUREEN FLOWERS

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This page was last updated on: 9/29/2025