04D0642180 CLIA NUMBER - DEWITT HOSPITAL AND NURSING HOME

Laboratory Demographics

CLIA Number: 04D0642180

Facility Name: DEWITT HOSPITAL AND NURSING HOME

Facility Address:
1641 SOUTH WHITEHEAD DRIVE
DE WITT, AR
ZIP 72042
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Facility Phone Number: 870 233-2207

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1972586238

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	04D0642180
LAB Type	Hospital
Facility Name	DEWITT HOSPITAL AND NURSING HOME
Street	1641 SOUTH WHITEHEAD DRIVE
City	DE WITT
State	AR
ZIP	72042
Phone	870 233-2207
CertificateType	2
CertificateEffectiveDate	10/22/2022
CertificateExpirationDate	10/21/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024