04D0468068 CLIA NUMBER - MONETTE MANOR INC

Laboratory Demographics

  • CLIA Code: 04D0468068
  • Facility Name: MONETTE MANOR INC
  • Facility Address: HWY 139 NORTH
    MONETTE, AR
    ZIP 72447
  • Facility Phone: 870 486-5419
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEBRA ROSE
  • NPI Number: 1538115944
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0468068
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MONETTE MANOR INC
Street HWY 139 NORTH
City MONETTE
State AR
ZIP 72447
Phone 870 486-5419
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 DEBRA ROSE

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