04D0872771 CLIA NUMBER - HENDERSON STATE UNIVIVERSITY STUDENT HEALTH AND WELLNESS

Laboratory Demographics

  • CLIA Code: 04D0872771
  • Facility Name: HENDERSON STATE UNIVIVERSITY STUDENT HEALTH AND WELLNESS
  • Facility Address: 1100 HENDERSON STREET HSU MOONEY HALL, RM 113
    ARKADELPHIA, AR
    ZIP 71999
  • Facility Phone: 870 230-5102
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: YULIYA C. RIDDLE
  • NPI Number: 1043968894
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0872771
LAB Type School/Student Health Service
Facility Name HENDERSON STATE UNIVIVERSITY STUDENT HEALTH AND WELLNESS
Street 1100 HENDERSON STREET HSU MOONEY HALL, RM 113
City ARKADELPHIA
State AR
ZIP 71999
Phone 870 230-5102
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 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type School/Student Health Service
Lab Director YULIYA C. RIDDLE

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