04D0663443 CLIA NUMBER - RIVER VALLEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 04D0663443
  • Facility Name: RIVER VALLEY DIALYSIS
  • Facility Address: 3121 W 2ND CT
    RUSSELLVILLE, AR
    ZIP 72801
  • Facility Phone: 479 968-4687
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. DREW HEIPLE
  • NPI Number: 1538134820
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0663443
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RIVER VALLEY DIALYSIS
Street 3121 W 2ND CT
City RUSSELLVILLE
State AR
ZIP 72801
Phone 479 968-4687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. DREW HEIPLE

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