04D0642393 CLIA NUMBER - HOT SPRINGS DIALYSIS

Laboratory Demographics

  • CLIA Code: 04D0642393
  • Facility Name: HOT SPRINGS DIALYSIS
  • Facility Address: 115 WRIGHTS ST, STE A
    HOT SPRINGS, AR
    ZIP 71913
  • Facility Phone: 501 624-0153
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID DESOTO
  • NPI Number: 1730507732
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0642393
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HOT SPRINGS DIALYSIS
Street 115 WRIGHTS ST, STE A
City HOT SPRINGS
State AR
ZIP 71913
Phone 501 624-0153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVID DESOTO

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