CLIA lab
CLIA 04D2119993: North West Med Centr-Wound Care & Bariatric Centr
Bentonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2119993 belongs to North West Med Centr-Wound Care & Bariatric Centr in Bentonville, AR.
Certificate of Waiver, effective October 7, 2024, expiration date October 6, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 7, 2024
- Certificate expiration
- October 6, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 2016
- Facility type
- Independent
- 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
- 04D2119993
- Lab name
- North West Med Centr-Wound Care & Bariatric Centr
- Additional name
- A Department of North West Med Center
- Address
- 2900 Medical Center Parkway, Ste 140, Bentonville, AR 72712
- Phone
- (479) 553-4283
- Fax
- (479) 553-1940
Annual test volume the lab reported
- Waived tests
- 325
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for North West Med Centr-Wound Care & Bariatric Centr in Bentonville?
04D2119993, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does North West Med Centr-Wound Care & Bariatric Centr hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2119993 expire?
The CMS file lists October 6, 2026 as the certificate expiration date; the certificate took effect October 7, 2024.