04D0704396 CLIA NUMBER - ASCENSION DEPAUL SERVICES

Laboratory Demographics

  • CLIA Code: 04D0704396
  • Facility Name: ASCENSION DEPAUL SERVICES
  • Facility Address: 145 W WATERMAN ST
    DUMAS, AR
    ZIP 71639
  • Facility Phone: 870 382-3080
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ROBERT B. SCOTT
  • NPI Number: 1689775231
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D0704396
LAB Type Rural Health Clinic
Facility Name ASCENSION DEPAUL SERVICES
Street 145 W WATERMAN ST
City DUMAS
State AR
ZIP 71639
Phone 870 382-3080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Rural Health Clinic
Lab Director ROBERT B. SCOTT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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