CLIA lab
CLIA 04D0900655: South Arkansas Dialysis
El Dorado, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0900655 belongs to South Arkansas Dialysis in El Dorado, AR.
Certificate of Waiver, effective January 3, 2025, expires January 2, 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 3, 2025
- Certificate expiration
- January 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 3, 1995
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0900655
- Lab name
- South Arkansas Dialysis
- Address
- 620 West Grove, El Dorado, AR 71730
- Phone
- (870) 862-8788
- Fax
- (870) 862-5756
Annual test volume the lab reported
- Waived tests
- 6,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in El Dorado, AR
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2166851
- Advanced Health & Rehab of Union CountyCertificate of Waiver, Skilled nursing or nursing facility04D0902768
- Albert Obiozo Pediatrics IncCertificate of Waiver, Physician office04D2149288
- Applegate Health Services, IncCertificate of Waiver, Other04D2131230
- Arkansas Heart Hospital Clinic - El DoradoCertificate of Waiver, Physician office04D2072494
- Arkansas Hospice IncCertificate of Waiver, Other04D2326709
- Arkansas Renal Group, PACertificate for Provider-Performed Microscopy Procedures, Physician office04D0919775
- Arkansas Urology-El DoradoCertificate for Provider-Performed Microscopy Procedures, Mobile lab04D1079834
- Baptist Health El Dorado Wound CenterCertificate of Waiver, Ancillary test site04D0949135
- Baptist Health Medical Center El DoradoCertificate of Registration, Hospital04D0465573
Related
Questions
What is the CLIA number for South Arkansas Dialysis in El Dorado?
04D0900655, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does South Arkansas Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0900655 expire?
The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.