04D0676412 CLIA NUMBER - PINK BUD HOME FOR THE GOLDEN YEARS

Laboratory Demographics

  • CLIA Code: 04D0676412
  • Facility Name: PINK BUD HOME FOR THE GOLDEN YEARS
  • Facility Address: PO DRAWER 2000 HIGHWAY 71 SOUTH
    GREENWOOD, AR
    ZIP 72936
  • Facility Phone: 479 996-4125
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROGER M. CORBIN
  • NPI Number: 1972593911
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D0676412
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINK BUD HOME FOR THE GOLDEN YEARS
Street PO DRAWER 2000 HIGHWAY 71 SOUTH
City GREENWOOD
State AR
ZIP 72936
Phone 479 996-4125
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 ROGER M. CORBIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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