04D0886060 CLIA NUMBER - SPRING CREEK HEALTH & REHAB

Laboratory Demographics

  • CLIA Code: 04D0886060
  • Facility Name: SPRING CREEK HEALTH & REHAB
  • Facility Address: 804 NORTH SECOND STREET
    CABOT, AR
    ZIP 72023
  • Facility Phone: 501 843-3100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TINA BOGARD
  • NPI Number: 1699097758
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0886060
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SPRING CREEK HEALTH & REHAB
Street 804 NORTH SECOND STREET
City CABOT
State AR
ZIP 72023
Phone 501 843-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TINA BOGARD

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This page was last updated on: 3/20/2025