04D1075323 CLIA NUMBER - HOSPICE HOME CARE - MONTICELLO HOSPICE HOME CARE, INC

Laboratory Demographics

  • CLIA Code: 04D1075323
  • Facility Name: HOSPICE HOME CARE - MONTICELLO HOSPICE HOME CARE, INC
  • Facility Address: 990 HWY 425 NORTH
    MONTICELLO, AR
    ZIP 71655
  • Facility Phone: 870 367-9008
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KRISTI KINSLOW
  • NPI Number: 1114065018
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 04D1075323
LAB Type Hospice
Facility Name HOSPICE HOME CARE - MONTICELLO HOSPICE HOME CARE, INC
Street 990 HWY 425 NORTH
City MONTICELLO
State AR
ZIP 71655
Phone 870 367-9008
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 Hospice
Lab Director KRISTI KINSLOW

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