04D0921731 CLIA NUMBER - LITTLE RIVER MEMORIAL HOSPITAL HOME HEALTH

Laboratory Demographics

  • CLIA Code: 04D0921731
  • Facility Name: LITTLE RIVER MEMORIAL HOSPITAL HOME HEALTH
  • Facility Address: 170 SOUTH 4TH STREET
    ASHDOWN, AR
    ZIP 71822
  • Facility Phone: 870 898-4120
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: STEPHANIE MATTHEWS
  • NPI Number: 1528289725
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D0921731
LAB Type Home Health Agency
Facility Name LITTLE RIVER MEMORIAL HOSPITAL HOME HEALTH
Street 170 SOUTH 4TH STREET
City ASHDOWN
State AR
ZIP 71822
Phone 870 898-4120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Home Health Agency
Lab Director STEPHANIE MATTHEWS

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