CLIA lab
CLIA 04D2123597: Hidden Springs Dialysis Center
Bentonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2123597 belongs to Hidden Springs Dialysis Center in Bentonville, AR.
Certificate of Waiver, effective December 27, 2024, expires December 26, 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
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 Waiver
- Certificate effective
- December 27, 2024
- Certificate expiration
- December 26, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 27, 2016
- 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
- 04D2123597
- Lab name
- Hidden Springs Dialysis Center
- Address
- 3000 NW A Street, Bentonville, AR 72712
- Phone
- (479) 463-7000
- Fax
- (479) 587-8421
Annual test volume the lab reported
- Waived tests
- 24
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Hidden Springs Dialysis CTRCMS Care Compare ratings for the facility at the same street address
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 Hidden Springs Dialysis Center in Bentonville?
04D2123597, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hidden Springs Dialysis Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2123597 expire?
The CMS file lists December 26, 2026 as the certificate expiration date; the certificate took effect December 27, 2024.