04D0710916 CLIA NUMBER - ST VINCENT MORRILTON RESPIRATORY

Laboratory Demographics

  • CLIA Code: 04D0710916
  • Facility Name: ST VINCENT MORRILTON RESPIRATORY
  • Facility Address: #4 HOSPITAL DRIVE
    MORRILTON, AR
    ZIP 72110
  • Facility Phone: 501 977-2410
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: ROBERT J. WILKERSON MD
  • NPI Number: 1215089602
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 04D0710916
LAB Type Hospital
Facility Name ST VINCENT MORRILTON RESPIRATORY
Street #4 HOSPITAL DRIVE
City MORRILTON
State AR
ZIP 72110
Phone 501 977-2410
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 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Hospital
Lab Director ROBERT J. WILKERSON MD

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