04D0898050 CLIA NUMBER - HEART OF HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 04D0898050
  • Facility Name: HEART OF HOSPICE LLC
  • Facility Address: 1401 SOUTH WALDRON ROAD SUITE 201
    FORT SMITH, AR
    ZIP 72903
  • Facility Phone: 479 494-0100
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. SHEILA BROWN
  • NPI Number: 1619457181
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D0898050
LAB Type Hospice
Facility Name HEART OF HOSPICE LLC
Street 1401 SOUTH WALDRON ROAD SUITE 201
City FORT SMITH
State AR
ZIP 72903
Phone 479 494-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Hospice
Lab Director DR. SHEILA BROWN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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