CLIA lab
CLIA 04D2160874: Arcare 121
Benton, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2160874 belongs to Arcare 121 in Benton, AR.
Certificate of Waiver, effective January 22, 2025, expires January 21, 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 22, 2025
- Certificate expiration
- January 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 22, 2019
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2160874
- Lab name
- Arcare 121
- Address
- 630 West South Street, Benton, AR 72015
- Phone
- (870) 860-7150
- Fax
- (870) 860-7166
Annual test volume the lab reported
- Waived tests
- 780
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Benton, AR
- Alcoa Pines Health & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility04D1045183
- Amberwood Health and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility04D2140547
- Archer - Knight Health and Wellness, PLLCCertificate of Waiver, Other practitioner04D2317688
- Arkansas Cardiology BentonCertificate of Waiver, Physician office04D2347965
- Arkansas Health CenterCertificate of Waiver, Skilled nursing or nursing facility04D0677254
- Arkansas Urology-BentonCertificate for Provider-Performed Microscopy Procedures, Physician office04D0466136
- Baptist Health Imaging CTR Saline CountyCertificate of Waiver, Other04D2027600
- Baptist Health Urgent Care-Benton, ArCertificate of Waiver, Physician office04D2136064
- Benton DialysisCertificate of Waiver, End stage renal disease dialysis facility04D0955645
- Benton Family ClinicCertificate of Waiver, Physician office04D0466134
Related
Questions
What is the CLIA number for Arcare 121 in Benton?
04D2160874, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arcare 121 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2160874 expire?
The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.