04D0883412 CLIA NUMBER - SPRINGS OF PINE BLUFF, THE

Laboratory Demographics

  • CLIA Code: 04D0883412
  • Facility Name: SPRINGS OF PINE BLUFF, THE
  • Facility Address: 6301 SOUTH HAZEL
    PINE BLUFF, AR
    ZIP 71603
  • Facility Phone: 870 534-8153
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TAMMY BRAY
  • NPI Number: 1821085499
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0883412
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SPRINGS OF PINE BLUFF, THE
Street 6301 SOUTH HAZEL
City PINE BLUFF
State AR
ZIP 71603
Phone 870 534-8153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TAMMY BRAY

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