04D0947290 CLIA NUMBER - NORTH RIVER SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 04D0947290
  • Facility Name: NORTH RIVER SURGERY CENTER
  • Facility Address: 2209 WILDWOOD AVENUE
    SHERWOOD, AR
    ZIP 72120
  • Facility Phone: 501 834-5777
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MS. SHARON COMSTOCK
  • NPI Number: 1265404669
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0947290
LAB Type Ambulatory Surgery Center
Facility Name NORTH RIVER SURGERY CENTER
Street 2209 WILDWOOD AVENUE
City SHERWOOD
State AR
ZIP 72120
Phone 501 834-5777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Ambulatory Surgery Center
Lab Director MS. SHARON COMSTOCK

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