04D0987053 CLIA NUMBER - ASHLEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 04D0987053
  • Facility Name: ASHLEY DIALYSIS
  • Facility Address: 1019 FRED LAGRONE DRIVE
    CROSSETT, AR
    ZIP 71635
  • Facility Phone: 870 305-1225
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. SCHONEFELD
  • NPI Number: 1720406721
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0987053
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ASHLEY DIALYSIS
Street 1019 FRED LAGRONE DRIVE
City CROSSETT
State AR
ZIP 71635
Phone 870 305-1225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL D. SCHONEFELD

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