CLIA lab
CLIA 04D2180465: Bonanza Wellness Center
Bonanza, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2180465 belongs to Bonanza Wellness Center in Bonanza, AR.
Certificate for Provider-Performed Microscopy Procedures, effective March 16, 2026, expires March 15, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- March 16, 2026
- Certificate expiration
- March 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 16, 2020
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 04D2180465
- Lab name
- Bonanza Wellness Center
- Address
- 920 State Hwy 45, Bonanza, AR 72916
- Phone
- (479) 279-7690
- Fax
- (479) 279-7692
Annual test volume the lab reported
- Waived tests
- 3,000
- Provider-performed microscopy tests
- 50
- Total
- 3,050
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Bonanza Wellness Center in Bonanza?
04D2180465, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bonanza Wellness Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2180465 expire?
The CMS file lists March 15, 2028 as the certificate expiration date; the certificate took effect March 16, 2026.