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CLIA 04D2130967: Diamond State Dialysis
North Little Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2130967 belongs to Diamond State Dialysis in North Little Rock, AR.
Certificate of Waiver, effective May 19, 2025, expires May 18, 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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Map the testsCertificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 19, 2025
- Certificate expiration
- May 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 19, 2017
- 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
- 04D2130967
- Lab name
- Diamond State Dialysis
- Address
- 9022 Landers Road, Ste E, North Little Rock, AR 72117
- Phone
- (501) 834-1393
- Fax
- (501) 834-1450
Annual test volume the lab reported
- Waived tests
- 17,472
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Diamond State DialysisCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Diamond State Dialysis in North Little Rock?
04D2130967, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Diamond State Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2130967 expire?
The CMS file lists May 18, 2027 as the certificate expiration date; the certificate took effect May 19, 2025.