04D1075322 CLIA NUMBER - MENA DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 04D1075322
  • Facility Name: MENA DIALYSIS CENTER
  • Facility Address: 1200 CRESTWOOD CIRCLE
    MENA, AR
    ZIP 71953
  • Facility Phone: 479 394-8085
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT MCCRARY
  • NPI Number: 1477744670
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D1075322
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MENA DIALYSIS CENTER
Street 1200 CRESTWOOD CIRCLE
City MENA
State AR
ZIP 71953
Phone 479 394-8085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ROBERT MCCRARY

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