04D0710997 CLIA NUMBER - ACMC FAMILY HOME HEALTH ARKANSAS HOME CARE OF FORREST CITY LLC

Laboratory Demographics

  • CLIA Code: 04D0710997
  • Facility Name: ACMC FAMILY HOME HEALTH ARKANSAS HOME CARE OF FORREST CITY LLC
  • Facility Address: 211 PINE STREET
    CROSSETT, AR
    ZIP 71635
  • Facility Phone: 870 364-5555
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TAMMY L. CARTER
  • NPI Number: 1255339990
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 04D0710997
LAB Type Home Health Agency
Facility Name ACMC FAMILY HOME HEALTH ARKANSAS HOME CARE OF FORREST CITY LLC
Street 211 PINE STREET
City CROSSETT
State AR
ZIP 71635
Phone 870 364-5555
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 Home Health Agency
Lab Director TAMMY L. CARTER

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