04D0679603 CLIA NUMBER - WALDRON NURSING AND REHAB

Laboratory Demographics

  • CLIA Code: 04D0679603
  • Facility Name: WALDRON NURSING AND REHAB
  • Facility Address: 1369 W 6TH ST
    WALDRON, AR
    ZIP 72958
  • Facility Phone: 479 637-3171
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JANETTE BERNARD
  • NPI Number: 1073578720
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0679603
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WALDRON NURSING AND REHAB
Street 1369 W 6TH ST
City WALDRON
State AR
ZIP 72958
Phone 479 637-3171
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 JANETTE BERNARD

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