04D1061739 CLIA NUMBER - ELITE HOME HEALTH ARKANSAS HOMECARE OF FORREST CITY, LLC

Laboratory Demographics

  • CLIA Code: 04D1061739
  • Facility Name: ELITE HOME HEALTH ARKANSAS HOMECARE OF FORREST CITY, LLC
  • Facility Address: 4200 N WASHINGTON STREET, SUITE 1
    FORREST CITY, AR
    ZIP 72335
  • Facility Phone: 870 261-0188
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: COURTNEY BUTLER
  • NPI Number: 1861810095
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 04D1061739
LAB Type Home Health Agency
Facility Name ELITE HOME HEALTH ARKANSAS HOMECARE OF FORREST CITY, LLC
Street 4200 N WASHINGTON STREET, SUITE 1
City FORREST CITY
State AR
ZIP 72335
Phone 870 261-0188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Home Health Agency
Lab Director COURTNEY BUTLER

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