04D0909872 CLIA NUMBER - STUTTGART DIALYSIS

Laboratory Demographics

  • CLIA Code: 04D0909872
  • Facility Name: STUTTGART DIALYSIS
  • Facility Address: 805 MADISON STREET
    STUTTGART, AR
    ZIP 72160
  • Facility Phone: 870 673-8823
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VICKI KEPLAR
  • NPI Number: 1376655274
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D0909872
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name STUTTGART DIALYSIS
Street 805 MADISON STREET
City STUTTGART
State AR
ZIP 72160
Phone 870 673-8823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VICKI KEPLAR

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: 9/29/2025