CLIA lab
CLIA 04D1039746: Northwest Arkansas Home Dyalisis
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1039746 belongs to Northwest Arkansas Home Dyalisis in Fayetteville, AR.
Certificate of Waiver, effective April 21, 2025, expires April 20, 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
- April 21, 2025
- Certificate expiration
- April 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 21, 2005
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D1039746
- Lab name
- Northwest Arkansas Home Dyalisis
- Address
- 107 East Monte Painter Drive, Fayetteville, AR 72703
- Phone
- (479) 463-7000
- Fax
- (479) 587-8421
Annual test volume the lab reported
- Waived tests
- 15
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- North Hills DialysisCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Fayetteville, AR
- Abernathy ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office04D1036891
- Accent Women's HealthCertificate for Provider-Performed Microscopy Procedures, Physician office04D1087975
- Advanced Dermatology & Skin Cancer CenterCertificate of Compliance, Physician office04D1094440
- Advanced Health and Wellness ICertificate of Waiver, Federally qualified health center04D2294418
- Ancient Birth TraditionCertificate of Waiver, Other practitioner04D2220559
- Arcare 96Certificate of Waiver, Federally qualified health center04D2308355
- Arkansas Outpatient Eye Surgery LLCCertificate of Waiver, Ambulatory surgery center04D1048911
- Arkansas Veterans Home at FayettevilleCertificate of Waiver, Skilled nursing or nursing facility04D2095155
- Aurora Rehabilitation ClinicCertificate of Waiver, Comprehensive outpatient rehab facility04D2269408
- BHG Medical Services - FayettevilleCertificate of Waiver, Other04D2173843
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Questions
What is the CLIA number for Northwest Arkansas Home Dyalisis in Fayetteville?
04D1039746, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northwest Arkansas Home Dyalisis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1039746 expire?
The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.