04D1055965 CLIA NUMBER - OUTPATIENT SURGERY CENTER INC

Laboratory Demographics

  • CLIA Code: 04D1055965
  • Facility Name: OUTPATIENT SURGERY CENTER INC
  • Facility Address: 160 HIGHWAY 201 NORTH
    MOUNTAIN HOME, AR
    ZIP 72653
  • Facility Phone: 870 424-2020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AUSTIN BARBER
  • NPI Number: 1730132853
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D1055965
LAB Type Ambulatory Surgery Center
Facility Name OUTPATIENT SURGERY CENTER INC
Street 160 HIGHWAY 201 NORTH
City MOUNTAIN HOME
State AR
ZIP 72653
Phone 870 424-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Ambulatory Surgery Center
Lab Director AUSTIN BARBER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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