CLIA lab

CLIA 04D2340061: Nwamc Primary Care at Awsom Bentonville

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

CLIA number 04D2340061 belongs to Nwamc Primary Care at Awsom Bentonville in Bentonville, AR.

Certificate of Waiver, effective March 11, 2026, expires March 10, 2028.

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
March 11, 2026
Certificate expiration
March 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 11, 2026
Facility type
Physician office
Ownership (control type)
Religious affiliation
Lab classification
CLIA laboratory
Directly affiliated labs
20

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
04D2340061
Lab name
Nwamc Primary Care at Awsom Bentonville
Address
1001 NE J Street, Bentonville, AR 72712
Phone
(479) 877-7820
Fax
(479) 877-7821

Annual test volume the lab reported

Waived tests
7,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Bentonville, AR

Related

Questions

What is the CLIA number for Nwamc Primary Care at Awsom Bentonville in Bentonville?

04D2340061, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Nwamc Primary Care at Awsom Bentonville hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2340061 expire?

The CMS file lists March 10, 2028 as the certificate expiration date; the certificate took effect March 11, 2026.

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