CLIA lab

CLIA 04D2151358: College City Dialysis

Conway, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2151358 belongs to College City Dialysis in Conway, AR.

Certificate of Waiver, effective July 17, 2026, expires July 16, 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 of Waiver
Certificate effective
July 17, 2026
Certificate expiration
July 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 17, 2018
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
04D2151358
Lab name
College City Dialysis
Address
2630 Donaghey Ave, Conway, AR 72032
Phone
(501) 504-2474
Fax
(501) 504-2611

Annual test volume the lab reported

Waived tests
33,072

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Conway, AR

Related

Questions

What is the CLIA number for College City Dialysis in Conway?

04D2151358, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does College City Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2151358 expire?

The CMS file lists July 16, 2028 as the certificate expiration date; the certificate took effect July 17, 2026.

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