CLIA lab
CLIA 04D1050400: Bradley County Dialysis
Warren, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1050400 belongs to Bradley County Dialysis in Warren, AR.
Certificate of Waiver, effective January 3, 2025, expires January 2, 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
- January 3, 2025
- Certificate expiration
- January 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 2, 2006
- 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
- 04D1050400
- Lab name
- Bradley County Dialysis
- Address
- 204 Bragg St, Warren, AR 71671
- Phone
- (870) 226-7180
- Fax
- (870) 226-2488
Annual test volume the lab reported
- Waived tests
- 11,232
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Bradley County DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Warren, AR
- Bcmc Rural Health ClinicCertificate of Waiver, Rural health clinic04D2136063
- Bradley County Med Center Home HealthCertificate of Waiver, Home health agency04D0860708
- Bradley County Medical CenterCertificate of Compliance, Hospital04D0465446
- Chapel Woods Health and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility04D0465452
- Ladonna George, MDCertificate of Waiver, Physician office04D0465438
- MVP WarrenCertificate of Waiver, Pharmacy04D2311953
- Mainline Health Systems IncCertificate of Accreditation, Physician office04D2176977
- Mainline Health Systems IncCertificate of Waiver, School or student health service04D2284822
- New Beginnings CasaCertificate of Waiver, Other04D2323142
- New Beginnings CasaCertificate of Waiver, Other04D2323176
Related
Questions
What is the CLIA number for Bradley County Dialysis in Warren?
04D1050400, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bradley County Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1050400 expire?
The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.