CLIA lab

CLIA 04D0979586: Saline Med Peds

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

CLIA number 04D0979586 belongs to Saline Med Peds in Benton, AR.

Certificate for Provider-Performed Microscopy Procedures, effective April 22, 2026, expires April 21, 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
April 22, 2026
Certificate expiration
April 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 26, 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
04D0979586
Lab name
Saline Med Peds
Address
105 Mcneil St, Benton, AR 72015
Phone
(501) 315-1222
Fax
(501) 315-1241

Annual test volume the lab reported

Waived tests
3,000

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 Med Peds in Benton?

04D0979586, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Saline Med Peds hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 04D0979586 expire?

The CMS file lists April 21, 2028 as the certificate expiration date; the certificate took effect April 22, 2026.

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