04D0642192 CLIA NUMBER - ARBOR OAKS HEALTHCARE AND REHAB MALVERN SNF OP LLC

Laboratory Demographics

  • CLIA Code: 04D0642192
  • Facility Name: ARBOR OAKS HEALTHCARE AND REHAB MALVERN SNF OP LLC
  • Facility Address: 955 DIVISION STREET
    MALVERN, AR
    ZIP 72104
  • Facility Phone: 501 332-5251
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHYRA WORTHINGTON
  • NPI Number: 1750379335
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0642192
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ARBOR OAKS HEALTHCARE AND REHAB MALVERN SNF OP LLC
Street 955 DIVISION STREET
City MALVERN
State AR
ZIP 72104
Phone 501 332-5251
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 CHYRA WORTHINGTON

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