CLIA lab
CLIA 04D2244024: Och Benton County Lab
Bentonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2244024 belongs to Och Benton County Lab in Bentonville, AR.
Certificate of Waiver, effective November 24, 2025, expires November 23, 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
- November 24, 2025
- Certificate expiration
- November 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 24, 2021
- Facility type
- Ancillary test site
- Ownership (control type)
- Private
- 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
- 04D2244024
- Lab name
- Och Benton County Lab
- Address
- 907 SE Village Loop, Suite #3, Bentonville, AR 72712
- Phone
- (479) 268-4635
- Fax
- (479) 268-4640
Annual test volume the lab reported
- Waived tests
- 100
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 Och Benton County Lab in Bentonville?
04D2244024, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Och Benton County Lab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2244024 expire?
The CMS file lists November 23, 2027 as the certificate expiration date; the certificate took effect November 24, 2025.