Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
04D1066504
|
|
Clinical laboratory number
|
|
Lab Name
|
ST JOHN'S PLACE OF ARKANSAS LLC
|
|
Laboratory Name
|
|
Lab Type
|
Skilled Nursing Facility/Nursing Facility
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
870-352-2104
|
|
Laboratory telephone number
|
|
Fax
|
870-352-8969
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1400 HWY 79-167 BY-PASS
|
|
Primary location adress line
|
|
City
|
FORDYCE
|
|
Primary location city name
|
|
State
|
AR
|
|
Primary location state name
|
|
Zip
|
71742
|
|
Primary location postal code
|