04D0642400 CLIA NUMBER - MERCY HOSPITAL OZARK

Laboratory Demographics

  • CLIA Code: 04D0642400
  • Facility Name: MERCY HOSPITAL OZARK
  • Facility Address: 801 WEST RIVER STREET
    OZARK, AR
    ZIP 72949
  • Facility Phone: 479 508-8205
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. CHRISTINA JETTON
  • NPI Number: 1275504128
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 04D0642400
LAB Type Hospital
Facility Name MERCY HOSPITAL OZARK
Street 801 WEST RIVER STREET
City OZARK
State AR
ZIP 72949
Phone 479 508-8205
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/11/2024
Certificate Expiration Date 11/10/2026
Facility Type Hospital
Lab Director DR. CHRISTINA JETTON

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