04D1049899 CLIA NUMBER - GARDNER NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 04D1049899
  • Facility Name: GARDNER NURSING AND REHABILITATION
  • Facility Address: 702 NORTH DREW STREET
    STAR CITY, AR
    ZIP 71667
  • Facility Phone: 870 628-4144
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ASHLEY W. LOFTIN
  • NPI Number: 1861464463
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D1049899
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GARDNER NURSING AND REHABILITATION
Street 702 NORTH DREW STREET
City STAR CITY
State AR
ZIP 71667
Phone 870 628-4144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ASHLEY W. LOFTIN

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