CLIA lab

CLIA 04D2196807: MT Carmel Community at Benton

Benton, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2196807 belongs to MT Carmel Community at Benton in Benton, AR.

Certificate of Waiver, effective October 20, 2024, expiration date October 19, 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 20, 2024
Certificate expiration
October 19, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 20, 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
04D2196807
Lab name
MT Carmel Community at Benton
Address
3505 Boone Road, Benton, AR 72015
Phone
(501) 315-1555
Fax
(501) 326-6511

Annual test volume the lab reported

Waived tests
90

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 MT Carmel Community at Benton in Benton?

04D2196807, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does MT Carmel Community at Benton hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2196807 expire?

The CMS file lists October 19, 2026 as the certificate expiration date; the certificate took effect October 20, 2024.

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