CLIA lab
CLIA 04D2230020: Green House Cottage of Northwest Arkansas LLC, the
Bentonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2230020 belongs to Green House Cottage of Northwest Arkansas LLC, the in Bentonville, AR.
Certificate of Waiver, effective July 19, 2025, expires July 18, 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
- July 19, 2025
- Certificate expiration
- July 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 19, 2021
- Facility type
- Skilled nursing or nursing 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
- 04D2230020
- Lab name
- Green House Cottage of Northwest Arkansas LLC, the
- Address
- 1303 NE Legacy Parkway, Bentonville, AR 72712
- Phone
- (479) 271-2387
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- The Green House Cottages of Northwest ArkansasCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Green House Cottage of Northwest Arkansas LLC, the in Bentonville?
04D2230020, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Green House Cottage of Northwest Arkansas LLC, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2230020 expire?
The CMS file lists July 18, 2027 as the certificate expiration date; the certificate took effect July 19, 2025.