CLIA lab

CLIA 04D1001003: Springdale Dialysis

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

CLIA number 04D1001003 belongs to Springdale Dialysis in Springdale, AR.

Certificate of Waiver, effective June 27, 2026, expires June 26, 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 of Waiver
Certificate effective
June 27, 2026
Certificate expiration
June 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 27, 2002
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
04D1001003
Lab name
Springdale Dialysis
Address
2070 Mckenzie Rd, Suite B, Springdale, AR 72762
Phone
(479) 750-7056
Fax
(479) 750-7059

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

Affiliated CLIA numbers

Other labs in Springdale, AR

Related

Questions

What is the CLIA number for Springdale Dialysis in Springdale?

04D1001003, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Springdale Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D1001003 expire?

The CMS file lists June 26, 2028 as the certificate expiration date; the certificate took effect June 27, 2026.

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