CLIA lab
CLIA 04D0922946: Fayetteville Dialysis
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0922946 belongs to Fayetteville Dialysis in Fayetteville, AR.
Certificate of Waiver, effective December 10, 2024, expires December 9, 2026.
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
- December 10, 2024
- Certificate expiration
- December 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 10, 1996
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D0922946
- Lab name
- Fayetteville Dialysis
- Address
- 509 E Millsap Rd, Ste 111, Fayetteville, AR 72703
- Phone
- (479) 443-6688
- Fax
- (479) 527-9917
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.
Affiliated CLIA numbers
Other labs in Fayetteville, AR
- Abernathy ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office04D1036891
- Accent Women's HealthCertificate for Provider-Performed Microscopy Procedures, Physician office04D1087975
- Advanced Dermatology & Skin Cancer CenterCertificate of Compliance, Physician office04D1094440
- Advanced Health and Wellness ICertificate of Waiver, Federally qualified health center04D2294418
- Ancient Birth TraditionCertificate of Waiver, Other practitioner04D2220559
- Arcare 96Certificate of Waiver, Federally qualified health center04D2308355
- Arkansas Outpatient Eye Surgery LLCCertificate of Waiver, Ambulatory surgery center04D1048911
- Arkansas Veterans Home at FayettevilleCertificate of Waiver, Skilled nursing or nursing facility04D2095155
- Aurora Rehabilitation ClinicCertificate of Waiver, Comprehensive outpatient rehab facility04D2269408
- BHG Medical Services - FayettevilleCertificate of Waiver, Other04D2173843
Related
Questions
What is the CLIA number for Fayetteville Dialysis in Fayetteville?
04D0922946, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fayetteville Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0922946 expire?
The CMS file lists December 9, 2026 as the certificate expiration date; the certificate took effect December 10, 2024.