04D0876559 CLIA NUMBER - WOODBRIAR NURSING HOME

Laboratory Demographics

  • CLIA Code: 04D0876559
  • Facility Name: WOODBRIAR NURSING HOME
  • Facility Address: 204 CATHERINE STREET
    HARRISBURG, AR
    ZIP 72432
  • Facility Phone: 870 578-2483
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: VONDA HOUCHIN MD
  • NPI Number: 1619921061
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0876559
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WOODBRIAR NURSING HOME
Street 204 CATHERINE STREET
City HARRISBURG
State AR
ZIP 72432
Phone 870 578-2483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director VONDA HOUCHIN MD

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