CLIA lab
CLIA 04D2081659: Advanced Dermatology & Skin Cancer Center
Bentonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2081659 belongs to Advanced Dermatology & Skin Cancer Center in Bentonville, AR.
Certificate for Provider-Performed Microscopy Procedures, effective June 24, 2026, expires June 23, 2028.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 24, 2026
- Certificate expiration
- June 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 29, 2014
- Facility type
- Physician office
- 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
- 04D2081659
- Lab name
- Advanced Dermatology & Skin Cancer Center
- Address
- 701 NW Mcnelly Rd, Bentonville, AR 72712
- Phone
- (479) 718-7546
- Fax
- (479) 966-4979
Annual test volume the lab reported
- Waived tests
- 5
- Provider-performed microscopy tests
- 148
- Total
- 153
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
- 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
- Biomat USA IncCertificate of Accreditation, Other04D2234552
Related
Questions
What is the CLIA number for Advanced Dermatology & Skin Cancer Center in Bentonville?
04D2081659, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Advanced Dermatology & Skin Cancer Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2081659 expire?
The CMS file lists June 23, 2028 as the certificate expiration date; the certificate took effect June 24, 2026.