04D0901318 CLIA NUMBER - OZARK SNF OPERATIONS LLC

Laboratory Demographics

  • CLIA Code: 04D0901318
  • Facility Name: OZARK SNF OPERATIONS LLC
  • Facility Address: 600 N 12TH
    OZARK, AR
    ZIP 72949
  • Facility Phone: 318 443-8167
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BECKY BERRY
  • NPI Number: 1326190778
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0901318
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OZARK SNF OPERATIONS LLC
Street 600 N 12TH
City OZARK
State AR
ZIP 72949
Phone 318 443-8167
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 BECKY BERRY

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