04D0465318 CLIA NUMBER - TRINITY VILLAGE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 04D0465318
  • Facility Name: TRINITY VILLAGE MEDICAL CENTER
  • Facility Address: 6400 TRINITY DRIVE
    PINE BLUFF, AR
    ZIP 71603
  • Facility Phone: 870 879-3117
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARLA SHAPIRO
  • NPI Number: 1558405993
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0465318
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TRINITY VILLAGE MEDICAL CENTER
Street 6400 TRINITY DRIVE
City PINE BLUFF
State AR
ZIP 71603
Phone 870 879-3117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARLA SHAPIRO

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