04D1001560 CLIA NUMBER - JEFFERSON REGIONAL MEDICAL CENTER RESPIRATORY DEPARTMENT

Laboratory Demographics

  • CLIA Code: 04D1001560
  • Facility Name: JEFFERSON REGIONAL MEDICAL CENTER RESPIRATORY DEPARTMENT
  • Facility Address: 1600 WEST 40TH AVENUE
    PINE BLUFF, AR
    ZIP 71603
  • Facility Phone: 870 541-7920
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: MRS. ELIZABETH WHITAKER
  • NPI Number: 1013461987
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D1001560
LAB Type Hospital
Facility Name JEFFERSON REGIONAL MEDICAL CENTER RESPIRATORY DEPARTMENT
Street 1600 WEST 40TH AVENUE
City PINE BLUFF
State AR
ZIP 71603
Phone 870 541-7920
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Hospital
Lab Director MRS. ELIZABETH WHITAKER

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This page was last updated on: 3/20/2025