04D1045183 CLIA NUMBER - ALCOA PINES HEALTH & REHABILITATION

Laboratory Demographics

  • CLIA Code: 04D1045183
  • Facility Name: ALCOA PINES HEALTH & REHABILITATION
  • Facility Address: 3300 ALCOA RD
    BENTON, AR
    ZIP 72015
  • Facility Phone: 501 315-1700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RICKY GRIFFIN
  • NPI Number: 1831433598
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D1045183
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ALCOA PINES HEALTH & REHABILITATION
Street 3300 ALCOA RD
City BENTON
State AR
ZIP 72015
Phone 501 315-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RICKY GRIFFIN

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