04D0698477 CLIA NUMBER - MID-DELTA HEALTH SYSTEMS, INC

Laboratory Demographics

  • CLIA Code: 04D0698477
  • Facility Name: MID-DELTA HEALTH SYSTEMS, INC
  • Facility Address: 245 MADISON
    CLARENDON, AR
    ZIP 72029
  • Facility Phone: 870 747-3381
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: CHRISTOPHER HOPKINSON
  • NPI Number: 1255346060
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0698477
LAB Type Community Clinic
Facility Name MID-DELTA HEALTH SYSTEMS, INC
Street 245 MADISON
City CLARENDON
State AR
ZIP 72029
Phone 870 747-3381
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Community Clinic
Lab Director CHRISTOPHER HOPKINSON

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