04D1022160 CLIA NUMBER - PHYSICIANS SURGERY CENTER, INC

Laboratory Demographics

  • CLIA Code: 04D1022160
  • Facility Name: PHYSICIANS SURGERY CENTER, INC
  • Facility Address: 3327 SOUTH DIVISION
    BLYTHEVILLE, AR
    ZIP 72315
  • Facility Phone: 870 762-1590
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANGELA FINLEY
  • NPI Number: 1295851137
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D1022160
LAB Type Ambulatory Surgery Center
Facility Name PHYSICIANS SURGERY CENTER, INC
Street 3327 SOUTH DIVISION
City BLYTHEVILLE
State AR
ZIP 72315
Phone 870 762-1590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Ambulatory Surgery Center
Lab Director ANGELA FINLEY

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