04D1015291 CLIA NUMBER - DELTA MEMORIAL HOME HEALTH

Laboratory Demographics

  • CLIA Code: 04D1015291
  • Facility Name: DELTA MEMORIAL HOME HEALTH
  • Facility Address: 803 HWY 65 SOUTH
    DUMAS, AR
    ZIP 71639
  • Facility Phone: 870 382-4045
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SUSAN K. MC GLAUGHLIN
  • NPI Number: 1629092929
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 04D1015291
LAB Type Home Health Agency
Facility Name DELTA MEMORIAL HOME HEALTH
Street 803 HWY 65 SOUTH
City DUMAS
State AR
ZIP 71639
Phone 870 382-4045
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 Home Health Agency
Lab Director SUSAN K. MC GLAUGHLIN

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