04D1066555 CLIA NUMBER - DELTA HEALTH SERVICES DELTA MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 04D1066555
  • Facility Name: DELTA HEALTH SERVICES DELTA MEMORIAL HOSPITAL
  • Facility Address: 803 HIGHWAY 65 SOUTH
    DUMAS, AR
    ZIP 71639
  • Facility Phone: 870 382-4303
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: FRANKLIN D. CHAMBERS
  • NPI Number: 1871628354
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D1066555
LAB Type Rural Health Clinic
Facility Name DELTA HEALTH SERVICES DELTA MEMORIAL HOSPITAL
Street 803 HIGHWAY 65 SOUTH
City DUMAS
State AR
ZIP 71639
Phone 870 382-4303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Rural Health Clinic
Lab Director FRANKLIN D. CHAMBERS

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