04D1038340 CLIA NUMBER - PARAGOULD US RENAL CARE US RENAL CARE OF NORTHEAST ARKANSAS

Laboratory Demographics

  • CLIA Code: 04D1038340
  • Facility Name: PARAGOULD US RENAL CARE US RENAL CARE OF NORTHEAST ARKANSAS
  • Facility Address: 901 W KINGSHIGHWAY
    PARAGOULD, AR
    ZIP 72450
  • Facility Phone: 870 215-0187
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JAMES MAXWELL
  • NPI Number: 1295712131
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D1038340
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PARAGOULD US RENAL CARE US RENAL CARE OF NORTHEAST ARKANSAS
Street 901 W KINGSHIGHWAY
City PARAGOULD
State AR
ZIP 72450
Phone 870 215-0187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JAMES MAXWELL

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This page was last updated on: 3/20/2025