04D1025411 CLIA NUMBER - HIGHLANDS OF BELLA VISTA HEALTH AND REHAB

Laboratory Demographics

  • CLIA Code: 04D1025411
  • Facility Name: HIGHLANDS OF BELLA VISTA HEALTH AND REHAB
  • Facility Address: 670 ROGERS ROAD
    BELLA VISTA, AR
    ZIP 72715
  • Facility Phone: 479 876-1847
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE BROCK
  • NPI Number: 1700810033
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D1025411
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HIGHLANDS OF BELLA VISTA HEALTH AND REHAB
Street 670 ROGERS ROAD
City BELLA VISTA
State AR
ZIP 72715
Phone 479 876-1847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHELLE BROCK

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