04D0465364 CLIA NUMBER - DELTA MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 04D0465364
  • Facility Name: DELTA MEMORIAL HOSPITAL
  • Facility Address: 811 HIGHWAY 65 S
    DUMAS, AR
    ZIP 71639
  • Facility Phone: 870 382-8229
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BRADLEY J. FOGEL
  • NPI Number: 1851956577
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 04D0465364
LAB Type Hospital
Facility Name DELTA MEMORIAL HOSPITAL
Street 811 HIGHWAY 65 S
City DUMAS
State AR
ZIP 71639
Phone 870 382-8229
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Hospital
Lab Director DR. BRADLEY J. FOGEL

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