CLIA lab
CLIA 04D2315853: Bentonville Endoscopy Center LLC
Bentonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2315853 belongs to Bentonville Endoscopy Center LLC in Bentonville, AR.
Certificate of Waiver, effective December 20, 2024, expires December 19, 2026.
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
- December 20, 2024
- Certificate expiration
- December 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 20, 2024
- Facility type
- Ambulatory surgery center
- 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
- 04D2315853
- Lab name
- Bentonville Endoscopy Center LLC
- Address
- 3700 SE Dodson Road Suite 4, Bentonville, AR 72712
- Phone
- (817) 893-2381
Annual test volume the lab reported
- Waived tests
- 550
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Benton County Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility04D1037079
- Benton County Home DialysisCertificate of Waiver, End stage renal disease dialysis facility04D2115280
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- Bentonville Fire DepartmentCertificate of Waiver, Ambulance04D0882445
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Related
Questions
What is the CLIA number for Bentonville Endoscopy Center LLC in Bentonville?
04D2315853, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bentonville Endoscopy Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2315853 expire?
The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.