CLIA lab

CLIA 04D1062384: Dialysis Center of Siloam Springs

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

CLIA number 04D1062384 belongs to Dialysis Center of Siloam Springs in Siloam Springs, AR.

Certificate of Waiver, effective December 13, 2024, expires December 12, 2026.

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
December 13, 2024
Certificate expiration
December 12, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 13, 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
04D1062384
Lab name
Dialysis Center of Siloam Springs
Address
2125 East Main Suite 11 And 12, Siloam Springs, AR 72761
Phone
(479) 463-7017
Fax
(479) 587-8421

Annual test volume the lab reported

Waived tests
50

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Siloam Springs, AR

Related

Questions

What is the CLIA number for Dialysis Center of Siloam Springs in Siloam Springs?

04D1062384, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dialysis Center of Siloam Springs hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D1062384 expire?

The CMS file lists December 12, 2026 as the certificate expiration date; the certificate took effect December 13, 2024.

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