04D2109813 CLIA NUMBER - BAXTER HEALTH FAMILY CLINIC AT MOUNTAIN VIEW

Laboratory Demographics

  • CLIA Code: 04D2109813
  • Facility Name: BAXTER HEALTH FAMILY CLINIC AT MOUNTAIN VIEW
  • Facility Address: 103 MOUNTAIN PLACE DRIVE
    MOUNTAIN VIEW, AR
    ZIP 72560
  • Facility Phone: 870 269-3447
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER G. WEBB
  • NPI Number: 1912365982
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2109813
LAB Type Community Clinic
Facility Name BAXTER HEALTH FAMILY CLINIC AT MOUNTAIN VIEW
Street 103 MOUNTAIN PLACE DRIVE
City MOUNTAIN VIEW
State AR
ZIP 72560
Phone 870 269-3447
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Community Clinic
Lab Director DR. CHRISTOPHER G. WEBB

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