04D0465573 CLIA NUMBER - SOUTH ARKANSAS REGIONAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 04D0465573
  • Facility Name: SOUTH ARKANSAS REGIONAL HOSPITAL
  • Facility Address: 700 WEST GROVE
    EL DORADO, AR
    ZIP 71730
  • Facility Phone: 879 863-3290
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. GARY P. ANZALONE
  • NPI Number: 1669425856
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0465573
LAB Type Hospital
Facility Name SOUTH ARKANSAS REGIONAL HOSPITAL
Street 700 WEST GROVE
City EL DORADO
State AR
ZIP 71730
Phone 879 863-3290
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 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. GARY P. ANZALONE

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