CLIA lab
CLIA 04D2154899: Mercy Clinic Primary Care N Walton
Bentonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2154899 belongs to Mercy Clinic Primary Care N Walton in Bentonville, AR.
Certificate of Waiver, effective September 20, 2026, expires September 19, 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
- September 20, 2026
- Certificate expiration
- September 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 20, 2018
- 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
- 04D2154899
- Lab name
- Mercy Clinic Primary Care N Walton
- Address
- 1401 N Walton Blvd, Bentonville, AR 72712
- Phone
- (479) 338-3973
- Fax
- (479) 338-3994
Annual test volume the lab reported
- Waived tests
- 2,400
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 Mercy Clinic Primary Care N Walton in Bentonville?
04D2154899, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mercy Clinic Primary Care N Walton hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2154899 expire?
The CMS file lists September 19, 2028 as the certificate expiration date; the certificate took effect September 20, 2026.