04D0909408 CLIA NUMBER - PATHFINDER INC

Laboratory Demographics

  • CLIA Code: 04D0909408
  • Facility Name: PATHFINDER INC
  • Facility Address: 415 SOUTH HOSPITAL DRIVE
    JACKSONVILLE, AR
    ZIP 72078
  • Facility Phone: 501 982-0528
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: MIKE MCCREIGHT
  • NPI Number: 1639362379
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 04D0909408
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name PATHFINDER INC
Street 415 SOUTH HOSPITAL DRIVE
City JACKSONVILLE
State AR
ZIP 72078
Phone 501 982-0528
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director MIKE MCCREIGHT

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