04D0886006 CLIA NUMBER - CREEKSIDE AT THE SPRINGS

Laboratory Demographics

  • CLIA Code: 04D0886006
  • Facility Name: CREEKSIDE AT THE SPRINGS
  • Facility Address: 620 NORTH PANTHER AVENUE
    YELLVILLE, AR
    ZIP 72687
  • Facility Phone: 870 449-4201
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRENDA TURNER
  • NPI Number: 1780166561
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0886006
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CREEKSIDE AT THE SPRINGS
Street 620 NORTH PANTHER AVENUE
City YELLVILLE
State AR
ZIP 72687
Phone 870 449-4201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BRENDA TURNER

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