04D0466485 CLIA NUMBER - ST VINCENT MORRILTON RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 04D0466485
  • Facility Name: ST VINCENT MORRILTON RURAL HEALTH CLINIC
  • Facility Address: 1711 EAST HARDING
    MORRILTON, AR
    ZIP 72110
  • Facility Phone: 501 354-4637
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JENNIFER BRAY
  • NPI Number: 1578608477
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 04D0466485
LAB Type Physician Office
Facility Name ST VINCENT MORRILTON RURAL HEALTH CLINIC
Street 1711 EAST HARDING
City MORRILTON
State AR
ZIP 72110
Phone 501 354-4637
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 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Physician Office
Lab Director JENNIFER BRAY

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