04D0908231 CLIA NUMBER - NORTH HILLS LIFE CARE & REHAB NORTHWEST HEALTH & REHAB, INC

Laboratory Demographics

  • CLIA Code: 04D0908231
  • Facility Name: NORTH HILLS LIFE CARE & REHAB NORTHWEST HEALTH & REHAB, INC
  • Facility Address: 27 EAST APPLEBY ROAD
    FAYETTEVILLE, AR
    ZIP 72703
  • Facility Phone: 479 444-9000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CRAIG TALLEY
  • NPI Number: 1851387187
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D0908231
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTH HILLS LIFE CARE & REHAB NORTHWEST HEALTH & REHAB, INC
Street 27 EAST APPLEBY ROAD
City FAYETTEVILLE
State AR
ZIP 72703
Phone 479 444-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CRAIG TALLEY

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: 6/4/2025