CLIA lab
CLIA 04D1037079: Benton County Dialysis Center
Bentonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1037079 belongs to Benton County Dialysis Center in Bentonville, AR.
Certificate of Waiver, effective February 15, 2025, expires February 14, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 15, 2025
- Certificate expiration
- February 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 15, 2005
- 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
- 04D1037079
- Lab name
- Benton County Dialysis Center
- Address
- 801 SE Plaza Avenue Suite 1, Bentonville, AR 72712
- Phone
- (479) 463-7000
- Fax
- (479) 587-8421
Annual test volume the lab reported
- Waived tests
- 36
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Benton County Dialysis CTRCMS Care Compare ratings for the facility at the same street address
Other labs in Bentonville, AR
- Advanced Dermatology & Skin Cancer CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D2081659
- Arcare - BentonvilleCertificate of Waiver, Federally qualified health center04D2049893
- Arcare 33 Bentonville MedicalCertificate of Waiver, Federally qualified health center04D2187506
- Benton County Home DialysisCertificate of Waiver, End stage renal disease dialysis facility04D2115280
- Bentonville Ambulatory Surgery CenterCertificate of Waiver, Ambulatory surgery center04D2193405
- Bentonville DialysisCertificate of Waiver, End stage renal disease dialysis facility04D0922944
- Bentonville Endoscopy Center LLCCertificate of Waiver, Ambulatory surgery center04D2315853
- Bentonville Fire DepartmentCertificate of Waiver, Ambulance04D0882445
- Bentonville PediatricsCertificate of Waiver, Physician office04D1002649
- Biomat USA IncCertificate of Accreditation, Other04D2234552
Related
Questions
What is the CLIA number for Benton County Dialysis Center in Bentonville?
04D1037079, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Benton County Dialysis Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1037079 expire?
The CMS file lists February 14, 2027 as the certificate expiration date; the certificate took effect February 15, 2025.