CLIA lab
CLIA 04D2195124: Manor at Benton, the
Bryant, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2195124 belongs to Manor at Benton, the in Bryant, AR.
Certificate of Waiver, effective October 6, 2024, expiration date October 5, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 6, 2024
- Certificate expiration
- October 5, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 6, 2020
- Facility type
- Assisted living 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
- 04D2195124
- Lab name
- Manor at Benton, the
- Address
- 4727 Boone Rd, Bryant, AR 72022
- Phone
- (501) 316-4100
- Fax
- (501) 316-4103
Annual test volume the lab reported
- Waived tests
- 150
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 Manor at Benton, the in Bryant?
04D2195124, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Manor at Benton, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2195124 expire?
The CMS file lists October 5, 2026 as the certificate expiration date; the certificate took effect October 6, 2024.