04D0900655 CLIA NUMBER - SOUTH ARKANSAS DIALYSIS

Laboratory Demographics

  • CLIA Code: 04D0900655
  • Facility Name: SOUTH ARKANSAS DIALYSIS
  • Facility Address: 620 WEST GROVE
    EL DORADO, AR
    ZIP 71730
  • Facility Phone: 870 862-8788
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. SCHONEFELD
  • NPI Number: 1013982040
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0900655
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH ARKANSAS DIALYSIS
Street 620 WEST GROVE
City EL DORADO
State AR
ZIP 71730
Phone 870 862-8788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL D. SCHONEFELD

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