04D0893322 CLIA NUMBER - CONWAY HEALTHCARE AND REHAB FAULKNER SNF OP LLC

Laboratory Demographics

  • CLIA Code: 04D0893322
  • Facility Name: CONWAY HEALTHCARE AND REHAB FAULKNER SNF OP LLC
  • Facility Address: 2603 DAVE WARD DRIVE
    CONWAY, AR
    ZIP 72032
  • Facility Phone: 501 329-2149
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MELISSA POORE
  • NPI Number: 1104814771
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0893322
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CONWAY HEALTHCARE AND REHAB FAULKNER SNF OP LLC
Street 2603 DAVE WARD DRIVE
City CONWAY
State AR
ZIP 72032
Phone 501 329-2149
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MELISSA POORE

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