04D0896727 CLIA NUMBER - SPRING RIVER PARAMEDIC AMBULANCE SERVICE INC

Laboratory Demographics

  • CLIA Code: 04D0896727
  • Facility Name: SPRING RIVER PARAMEDIC AMBULANCE SERVICE INC
  • Facility Address: 4 NAVAJO CENTER
    CHEROKEE VILLAGE, AR
    ZIP 72529
  • Facility Phone: 870 257-2044
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GEORGE W. JACKSON
  • NPI Number: 1831272145
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 04D0896727
LAB Type Ambulance
Facility Name SPRING RIVER PARAMEDIC AMBULANCE SERVICE INC
Street 4 NAVAJO CENTER
City CHEROKEE VILLAGE
State AR
ZIP 72529
Phone 870 257-2044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Ambulance
Lab Director GEORGE W. JACKSON

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