04D0888541 CLIA NUMBER - SHERIDAN HEALTHCARE AND REHAB GRANT SNF OP LLC

Laboratory Demographics

  • CLIA Code: 04D0888541
  • Facility Name: SHERIDAN HEALTHCARE AND REHAB GRANT SNF OP LLC
  • Facility Address: 113 SOUTH BRIARWOOD
    SHERIDAN, AR
    ZIP 72150
  • Facility Phone: 870 942-2183
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMY BALLARD
  • NPI Number: 1033107610
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0888541
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHERIDAN HEALTHCARE AND REHAB GRANT SNF OP LLC
Street 113 SOUTH BRIARWOOD
City SHERIDAN
State AR
ZIP 72150
Phone 870 942-2183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AMY BALLARD

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