04D0642186 CLIA NUMBER - OAKDALE NURSING FACILITY

Laboratory Demographics

  • CLIA Code: 04D0642186
  • Facility Name: OAKDALE NURSING FACILITY
  • Facility Address: PO BOX 670
    JUDSONIA, AR
    ZIP 72081
  • Facility Phone: 501 729-3823
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHERRY LANDIS
  • NPI Number: 1760447577
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0642186
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OAKDALE NURSING FACILITY
Street PO BOX 670
City JUDSONIA
State AR
ZIP 72081
Phone 501 729-3823
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 SHERRY LANDIS

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