04D0677643 CLIA NUMBER - MANILA HEALTH AND REHAB

Laboratory Demographics

  • CLIA Code: 04D0677643
  • Facility Name: MANILA HEALTH AND REHAB
  • Facility Address: 814 NORTH DAVIS
    MANILA, AR
    ZIP 72442
  • Facility Phone: 870 561-3342
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM STRAW
  • NPI Number: 1053894097
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0677643
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MANILA HEALTH AND REHAB
Street 814 NORTH DAVIS
City MANILA
State AR
ZIP 72442
Phone 870 561-3342
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 WILLIAM STRAW

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