CLIA lab
CLIA 04D2185017: Dermatology Group of Ar
Benton, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2185017 belongs to Dermatology Group of Ar in Benton, AR.
Certificate of Compliance, effective May 12, 2025, expires May 11, 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 Compliance
- Certificate effective
- May 12, 2025
- Certificate expiration
- May 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 28, 2020
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2185017
- Lab name
- Dermatology Group of Ar
- Additional name
- Division of Prime Medical Group PLLC
- Address
- 5 Medical Park Drive, Suite 200, Benton, AR 72015
- Phone
- (501) 776-3800
- Fax
- (501) 776-2209
Annual test volume the lab reported
- Other nonwaived tests
- 1,383
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
- Arcare 121Certificate of Waiver, Federally qualified health center04D2160874
- 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
Related
Questions
What is the CLIA number for Dermatology Group of Ar in Benton?
04D2185017, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dermatology Group of Ar hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 04D2185017 expire?
The CMS file lists May 11, 2027 as the certificate expiration date; the certificate took effect May 12, 2025.