CLIA lab
CLIA 04D2123876: BH Surgical & Speciality Clinic Conway
Conway, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2123876 belongs to BH Surgical & Speciality Clinic Conway in Conway, AR.
Certificate of Waiver, effective January 5, 2025, expires January 4, 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 Waiver
- Certificate effective
- January 5, 2025
- Certificate expiration
- January 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 5, 2017
- Facility type
- Physician office
- 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
- 04D2123876
- Lab name
- BH Surgical & Speciality Clinic Conway
- Address
- 625 United Drive, Ste 270, Conway, AR 72032
- Phone
- (501) 329-1415
- Fax
- (501) 329-2589
Annual test volume the lab reported
- Waived tests
- 750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arcare 24Certificate of Waiver, Federally qualified health center04D2034996
- Aristotle Diagnostic Laboratories LLCCertificate of Accreditation, Independent04D2253867
- Arkansas DermatologyCertificate of Compliance, Physician office04D2028520
- Arkansas Heart Hospital Clinic - ConwayCertificate of Waiver, Physician office04D2090186
- Arkansas Pediatrics of ConwayCertificate of Compliance, Physician office04D0913091
- Arkansas Urology - ConwayCertificate for Provider-Performed Microscopy Procedures, Physician office04D2140908
- Aveon Renal Care, LLCCertificate of Waiver, End stage renal disease dialysis facility04D2338583
Related
Questions
What is the CLIA number for BH Surgical & Speciality Clinic Conway in Conway?
04D2123876, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does BH Surgical & Speciality Clinic Conway hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2123876 expire?
The CMS file lists January 4, 2027 as the certificate expiration date; the certificate took effect January 5, 2025.