04D0909132 CLIA NUMBER - PERRY COUNTY NURSING & REHABILITATION CENTER PERRY COUNTY CARE CENTER INC

Laboratory Demographics

  • CLIA Code: 04D0909132
  • Facility Name: PERRY COUNTY NURSING & REHABILITATION CENTER PERRY COUNTY CARE CENTER INC
  • Facility Address: 1321 SCENIC DRIVE
    PERRYVILLE, AR
    ZIP 72126
  • Facility Phone: 501 889-2400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RHONDA STOUT
  • NPI Number: 1396734000
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0909132
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PERRY COUNTY NURSING & REHABILITATION CENTER PERRY COUNTY CARE CENTER INC
Street 1321 SCENIC DRIVE
City PERRYVILLE
State AR
ZIP 72126
Phone 501 889-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RHONDA STOUT

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