04D0465276 CLIA NUMBER - JEFFERSON REGIONAL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 04D0465276
  • Facility Name: JEFFERSON REGIONAL MEDICAL CENTER
  • Facility Address: 1600 WEST 40TH STREET
    PINE BLUFF, AR
    ZIP 71603
  • Facility Phone: 870 541-7530
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: JULIE HARRIS
  • NPI Number: 1013461987
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0465276
LAB Type Hospital
Facility Name JEFFERSON REGIONAL MEDICAL CENTER
Street 1600 WEST 40TH STREET
City PINE BLUFF
State AR
ZIP 71603
Phone 870 541-7530
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director JULIE HARRIS

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This page was last updated on: 9/29/2025