04D0469373 CLIA NUMBER - MERCY HOSPITAL WALDRON

Laboratory Demographics

  • CLIA Code: 04D0469373
  • Facility Name: MERCY HOSPITAL WALDRON
  • Facility Address: 1341 W 6TH ST
    WALDRON, AR
    ZIP 72958
  • Facility Phone: 479 637-4135
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. KASHAN KHALID
  • NPI Number: 1912978875
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 04D0469373
LAB Type Hospital
Facility Name MERCY HOSPITAL WALDRON
Street 1341 W 6TH ST
City WALDRON
State AR
ZIP 72958
Phone 479 637-4135
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 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Hospital
Lab Director DR. KASHAN KHALID

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