04D1015290 CLIA NUMBER - HEALTHY CONNECTIONS SHERIDAN

Laboratory Demographics

  • CLIA Code: 04D1015290
  • Facility Name: HEALTHY CONNECTIONS SHERIDAN
  • Facility Address: 1409 SOUTH ROCK STREET STE B
    SHERIDAN, AR
    ZIP 72150
  • Facility Phone: 870 942-9833
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. SHAWNA M. DEREEMER
  • NPI Number: 1891326633
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D1015290
LAB Type Physician Office
Facility Name HEALTHY CONNECTIONS SHERIDAN
Street 1409 SOUTH ROCK STREET STE B
City SHERIDAN
State AR
ZIP 72150
Phone 870 942-9833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Physician Office
Lab Director MS. SHAWNA M. DEREEMER

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