04D0689262 CLIA NUMBER - DALLAS COUNTY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 04D0689262
  • Facility Name: DALLAS COUNTY MEDICAL CENTER
  • Facility Address: 201 CLIFTON STREET
    FORDYCE, AR
    ZIP 71742
  • Facility Phone: 870 352-6347
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. GARY P. ANZALONE
  • NPI Number: 1992706824
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0689262
LAB Type Hospital
Facility Name DALLAS COUNTY MEDICAL CENTER
Street 201 CLIFTON STREET
City FORDYCE
State AR
ZIP 71742
Phone 870 352-6347
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Hospital
Lab Director DR. GARY P. ANZALONE

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