CLIA lab
CLIA 04D1051969: NW Ark Path FS at Nwmc Benton County
Bentonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1051969 belongs to NW Ark Path FS at Nwmc Benton County in Bentonville, AR.
Certificate of Accreditation, effective May 22, 2025, expires May 21, 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 Accreditation
- Certificate effective
- May 22, 2025
- Certificate expiration
- May 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 15, 2006
- Facility type
- Independent
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- The Joint Commission
- 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
- 04D1051969
- Lab name
- NW Ark Path FS at Nwmc Benton County
- Address
- 3000 SE Medical Center Parkway, Frozen Section Room, Bentonville, AR 72712
- Phone
- (479) 442-0144
- Fax
- (479) 442-4557
Annual test volume the lab reported
- Tests under accreditation
- 2,261
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
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 Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility04D1037079
- 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
Related
Questions
What is the CLIA number for NW Ark Path FS at Nwmc Benton County in Bentonville?
04D1051969, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does NW Ark Path FS at Nwmc Benton County hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 04D1051969 expire?
The CMS file lists May 21, 2027 as the certificate expiration date; the certificate took effect May 22, 2025.