04D0909379 CLIA NUMBER - MOUNTAIN MEADOWS HEALTH AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 04D0909379
  • Facility Name: MOUNTAIN MEADOWS HEALTH AND REHABILITATION
  • Facility Address: 1680 BATESVILLE BLVD
    BATESVILLE, AR
    ZIP 72501
  • Facility Phone: 870 251-1112
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TONYA MOSER
  • NPI Number: 1740524404
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D0909379
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MOUNTAIN MEADOWS HEALTH AND REHABILITATION
Street 1680 BATESVILLE BLVD
City BATESVILLE
State AR
ZIP 72501
Phone 870 251-1112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TONYA MOSER

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