04D0901313 CLIA NUMBER - RICH MOUNTAIN NURSING AND REHABILITATION CENTER MENA SNF OP LLC

Laboratory Demographics

  • CLIA Code: 04D0901313
  • Facility Name: RICH MOUNTAIN NURSING AND REHABILITATION CENTER MENA SNF OP LLC
  • Facility Address: 306 HORNBECK
    MENA, AR
    ZIP 71953
  • Facility Phone: 479 394-3511
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE CHAMBERS
  • NPI Number: 1205824885
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0901313
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RICH MOUNTAIN NURSING AND REHABILITATION CENTER MENA SNF OP LLC
Street 306 HORNBECK
City MENA
State AR
ZIP 71953
Phone 479 394-3511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHELLE CHAMBERS

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