CLIA lab

CLIA 04D0962206: Saline County Dialysis

Benton, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D0962206 belongs to Saline County Dialysis in Benton, AR.

Certificate of Waiver, effective June 25, 2025, expires June 24, 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
June 25, 2025
Certificate expiration
June 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 25, 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
04D0962206
Lab name
Saline County Dialysis
Address
1200 N Main, Suite 2, Benton, AR 72015
Phone
(501) 776-1816
Fax
(501) 776-1872

Annual test volume the lab reported

Waived tests
3,744

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Benton, AR

Related

Questions

What is the CLIA number for Saline County Dialysis in Benton?

04D0962206, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Saline County Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D0962206 expire?

The CMS file lists June 24, 2027 as the certificate expiration date; the certificate took effect June 25, 2025.

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