CLIA lab
CLIA 04D0955645: Benton Dialysis
Benton, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0955645 belongs to Benton Dialysis in Benton, AR.
Certificate of Waiver, effective January 5, 2025, expires January 4, 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 5, 2025
- Certificate expiration
- January 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 5, 1999
- Facility type
- End stage renal disease dialysis facility
- 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
- 04D0955645
- Lab name
- Benton Dialysis
- Address
- 2101 Congo Road, Benton, AR 72015
- Phone
- (501) 223-5335
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.
Care facility at this address
- Fmcna - BentonCMS Care Compare ratings for the facility at the same street address
Other labs in Benton, AR
- Alcoa Pines Health & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility04D1045183
- Amberwood Health and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility04D2140547
- Arcare 121Certificate of Waiver, Federally qualified health center04D2160874
- Archer - Knight Health and Wellness, PLLCCertificate of Waiver, Other practitioner04D2317688
- Arkansas Cardiology BentonCertificate of Waiver, Physician office04D2347965
- Arkansas Health CenterCertificate of Waiver, Skilled nursing or nursing facility04D0677254
- Arkansas Urology-BentonCertificate for Provider-Performed Microscopy Procedures, Physician office04D0466136
- Baptist Health Imaging CTR Saline CountyCertificate of Waiver, Other04D2027600
- Baptist Health Urgent Care-Benton, ArCertificate of Waiver, Physician office04D2136064
- Benton Family ClinicCertificate of Waiver, Physician office04D0466134
Related
Questions
What is the CLIA number for Benton Dialysis in Benton?
04D0955645, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Benton Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0955645 expire?
The CMS file lists January 4, 2027 as the certificate expiration date; the certificate took effect January 5, 2025.