04D1081363 CLIA NUMBER - OZARKS COMMUNITY HOSPITAL AT GRAVETTE

Laboratory Demographics

  • CLIA Code: 04D1081363
  • Facility Name: OZARKS COMMUNITY HOSPITAL AT GRAVETTE
  • Facility Address: 1101 SW JACKSON STREET
    GRAVETTE, AR
    ZIP 72736
  • Facility Phone: 479 344-6439
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. LIZHEN GUI
  • NPI Number: 1568643005
  • Taxonomy: 282NC0060X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D1081363
LAB Type Hospital
Facility Name OZARKS COMMUNITY HOSPITAL AT GRAVETTE
Street 1101 SW JACKSON STREET
City GRAVETTE
State AR
ZIP 72736
Phone 479 344-6439
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Hospital
Lab Director DR. LIZHEN GUI

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