CLIA lab
CLIA 04D2036231: Mercy Medical Center-Op Depts(Surgery,mri,pain CTR
Bentonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2036231 belongs to Mercy Medical Center-Op Depts(Surgery,mri,pain CTR in Bentonville, AR.
Certificate of Compliance, effective April 18, 2025, expires April 17, 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 Compliance
- Certificate effective
- April 18, 2025
- Certificate expiration
- April 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 3, 2012
- Facility type
- Other
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2036231
- Lab name
- Mercy Medical Center-Op Depts(Surgery,mri,pain CTR
- Address
- 3101 SE 14th St, Bentonville, AR 72712
- Phone
- (479) 338-2845
- Fax
- (479) 338-3202
Annual test volume the lab reported
- Waived tests
- 3,400
- Other nonwaived tests
- 32
- Total
- 3,432
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 Mercy Medical Center-Op Depts(Surgery,mri,pain CTR in Bentonville?
04D2036231, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mercy Medical Center-Op Depts(Surgery,mri,pain CTR hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D2036231 expire?
The CMS file lists April 17, 2027 as the certificate expiration date; the certificate took effect April 18, 2025.