04D1055206 CLIA NUMBER - HOME HEALTH PROFESSIONALS & HOSPICE

Laboratory Demographics

  • CLIA Code: 04D1055206
  • Facility Name: HOME HEALTH PROFESSIONALS & HOSPICE
  • Facility Address: 2919 EAST MATTHEWS
    JONESBORO, AR
    ZIP 72401
  • Facility Phone: 870 932-7630
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SUSAN D. CARTER
  • NPI Number: 1619584422
  • Taxonomy: 251F00000X - Home Infusion

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CLIA Record

Field Name Field Value
CLIA Number 04D1055206
LAB Type Home Health Agency
Facility Name HOME HEALTH PROFESSIONALS & HOSPICE
Street 2919 EAST MATTHEWS
City JONESBORO
State AR
ZIP 72401
Phone 870 932-7630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Home Health Agency
Lab Director SUSAN D. CARTER

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