04D0721668 CLIA NUMBER - OMEGA HOME, INC

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Field Name	Field Value
CLIA Number	04D0721668
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	OMEGA HOME, INC
Street	112 EAST AVE D
City	HOPE
State	AR
ZIP	71801
Phone	870 777-4501
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	Intermediate Care Facility for Mentally Retarded
Lab Director	CATHY ADAIR

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