04D0679878 CLIA NUMBER - PIONEER THERAPY AND LIVING

Laboratory Demographics

  • CLIA Code: 04D0679878
  • Facility Name: PIONEER THERAPY AND LIVING
  • Facility Address: 1506 EAST MAIN
    MELBOURNE, AR
    ZIP 72556
  • Facility Phone: 870 368-4377
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JODY KEVER
  • NPI Number: 1952727521
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0679878
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PIONEER THERAPY AND LIVING
Street 1506 EAST MAIN
City MELBOURNE
State AR
ZIP 72556
Phone 870 368-4377
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 JODY KEVER

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