CLIA lab
CLIA 04D2238263: Mana Family Medicine Southwest Bentonville
Bentonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2238263 belongs to Mana Family Medicine Southwest Bentonville in Bentonville, AR.
Certificate of Waiver, effective October 1, 2025, expires September 30, 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
- October 1, 2025
- Certificate expiration
- September 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 1, 2021
- Facility type
- Physician office
- 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
- 04D2238263
- Lab name
- Mana Family Medicine Southwest Bentonville
- Address
- 701 SW Regional Airport Blvd, Bentonville, AR 72713
- Phone
- (479) 464-5590
- Fax
- (479) 464-5591
Annual test volume the lab reported
- Waived tests
- 1,500
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 Mana Family Medicine Southwest Bentonville in Bentonville?
04D2238263, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mana Family Medicine Southwest Bentonville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2238263 expire?
The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.