04D1028916 CLIA NUMBER - MITCHELL'S NURSING HOME, INC

Laboratory Demographics

  • CLIA Code: 04D1028916
  • Facility Name: MITCHELL'S NURSING HOME, INC
  • Facility Address: 501 WEST 10TH STREET
    DANVILLE, AR
    ZIP 72833
  • Facility Phone: 479 495-2914
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATHARINE L. MITCHELL
  • NPI Number: 1114030269
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D1028916
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MITCHELL'S NURSING HOME, INC
Street 501 WEST 10TH STREET
City DANVILLE
State AR
ZIP 72833
Phone 479 495-2914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KATHARINE L. MITCHELL

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