04D0958061 CLIA NUMBER - ARKANSAS EXTENDED CARE HOSPITAL - HOT SPRINGS

Laboratory Demographics

  • CLIA Code: 04D0958061
  • Facility Name: ARKANSAS EXTENDED CARE HOSPITAL - HOT SPRINGS
  • Facility Address: 300 WERNER STREET, 3RD FLOOR
    HOT SPRINGS, AR
    ZIP 71913
  • Facility Phone: 501 609-4300
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. KRISTIN DISHONGH
  • NPI Number: 1518314368
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 04D0958061
LAB Type Hospital
Facility Name ARKANSAS EXTENDED CARE HOSPITAL - HOT SPRINGS
Street 300 WERNER STREET, 3RD FLOOR
City HOT SPRINGS
State AR
ZIP 71913
Phone 501 609-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Hospital
Lab Director DR. KRISTIN DISHONGH

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