04D0881306 CLIA NUMBER - DES ARC NURSING AND REHAB CTR PRAIRIE SNF OPERATIONS LLC

Laboratory Demographics

  • CLIA Code: 04D0881306
  • Facility Name: DES ARC NURSING AND REHAB CTR PRAIRIE SNF OPERATIONS LLC
  • Facility Address: 2216 WEST MAIN
    DES ARC, AR
    ZIP 72040
  • Facility Phone: 870 256-4194
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MELISSA COOK
  • NPI Number: 1114915782
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0881306
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DES ARC NURSING AND REHAB CTR PRAIRIE SNF OPERATIONS LLC
Street 2216 WEST MAIN
City DES ARC
State AR
ZIP 72040
Phone 870 256-4194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MELISSA COOK

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