CLIA lab
CLIA 04D0971476: Benton Women's Clinic
Benton, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0971476 belongs to Benton Women's Clinic in Benton, AR.
Certificate for Provider-Performed Microscopy Procedures, effective March 15, 2026, expires March 14, 2028.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- March 15, 2026
- Certificate expiration
- March 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 15, 2000
- Facility type
- Physician office
- 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
- 04D0971476
- Lab name
- Benton Women's Clinic
- Additional name
- John V Baka
- Address
- 1220 Military Rd, Benton, AR 72015
- Phone
- (501) 778-1000
- Fax
- (501) 778-1010
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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 DialysisCertificate of Waiver, End stage renal disease dialysis facility04D0955645
Related
Questions
What is the CLIA number for Benton Women's Clinic in Benton?
04D0971476, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Benton Women's Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D0971476 expire?
The CMS file lists March 14, 2028 as the certificate expiration date; the certificate took effect March 15, 2026.