04D1015042 CLIA NUMBER - AMEDISYS HOME HEALTH CARE OF ARKANSAS AMEDISYS ARKANSAS LLC

Laboratory Demographics

  • CLIA Code: 04D1015042
  • Facility Name: AMEDISYS HOME HEALTH CARE OF ARKANSAS AMEDISYS ARKANSAS LLC
  • Facility Address: 117 NORTHRIDGE DRIE, SUITE C
    VAN BUREN, AR
    ZIP 72956
  • Facility Phone: 479 474-4892
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: APRIL DRAKE
  • NPI Number: 1346208758
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 04D1015042
LAB Type Home Health Agency
Facility Name AMEDISYS HOME HEALTH CARE OF ARKANSAS AMEDISYS ARKANSAS LLC
Street 117 NORTHRIDGE DRIE, SUITE C
City VAN BUREN
State AR
ZIP 72956
Phone 479 474-4892
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Home Health Agency
Lab Director APRIL DRAKE

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