04D0976082 CLIA NUMBER - HEALTHY CONNECTIONS, INC

Laboratory Demographics

  • CLIA Code: 04D0976082
  • Facility Name: HEALTHY CONNECTIONS, INC
  • Facility Address: 1206 WEST COLLIN RAYE DR
    DE QUEEN, AR
    ZIP 71832
  • Facility Phone: 888 710-8220
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. ABSALOM TILLEY
  • NPI Number: 1871868703
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0976082
LAB Type Federally Qualified Health Center
Facility Name HEALTHY CONNECTIONS, INC
Street 1206 WEST COLLIN RAYE DR
City DE QUEEN
State AR
ZIP 71832
Phone 888 710-8220
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Federally Qualified Health Center
Lab Director DR. ABSALOM TILLEY

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