04D0467719 CLIA NUMBER - MISSISSIPPI COUNTY HOSPITAL SYSTEM

Laboratory Demographics

  • CLIA Code: 04D0467719
  • Facility Name: MISSISSIPPI COUNTY HOSPITAL SYSTEM
  • Facility Address: 1520 NORTH DIVISION STREET
    BLYTHEVILLE, AR
    ZIP 72315
  • Facility Phone: 870 838-7318
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. ELIZABETH W. SALES
  • NPI Number: 1124634738
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0467719
LAB Type Hospital
Facility Name MISSISSIPPI COUNTY HOSPITAL SYSTEM
Street 1520 NORTH DIVISION STREET
City BLYTHEVILLE
State AR
ZIP 72315
Phone 870 838-7318
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 DR. ELIZABETH W. SALES

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