04D0670583 CLIA NUMBER - AMEDISYS HOME HEALTH AMEDISYS ARKANSAS, LLC

Laboratory Demographics

  • CLIA Code: 04D0670583
  • Facility Name: AMEDISYS HOME HEALTH AMEDISYS ARKANSAS, LLC
  • Facility Address: 307 W STILLWELL AVENUE
    DE QUEEN, AR
    ZIP 71832
  • Facility Phone: 870 642-4214
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: APRIL DRAKE
  • NPI Number: 1093742066
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 04D0670583
LAB Type Home Health Agency
Facility Name AMEDISYS HOME HEALTH AMEDISYS ARKANSAS, LLC
Street 307 W STILLWELL AVENUE
City DE QUEEN
State AR
ZIP 71832
Phone 870 642-4214
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 Home Health Agency
Lab Director APRIL DRAKE

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