04D0467796 CLIA NUMBER - CRESTPARK HELENA LLC

Laboratory Demographics

  • CLIA Code: 04D0467796
  • Facility Name: CRESTPARK HELENA LLC
  • Facility Address: 116 NOVEMBER DR
    HELENA, AR
    ZIP 72342
  • Facility Phone: 870 338-9886
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER SIDNEY
  • NPI Number: 1295980316
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0467796
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CRESTPARK HELENA LLC
Street 116 NOVEMBER DR
City HELENA
State AR
ZIP 72342
Phone 870 338-9886
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 JENNIFER SIDNEY

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