04D1089245 CLIA NUMBER - BAILEY CREEK HEALTH & REHAB

Laboratory Demographics

  • CLIA Code: 04D1089245
  • Facility Name: BAILEY CREEK HEALTH & REHAB
  • Facility Address: 1621 E 42ND ST
    TEXARKANA, AR
    ZIP 71854
  • Facility Phone: 870 774-3581
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SARAH GAITHER
  • NPI Number: 1932361607
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D1089245
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BAILEY CREEK HEALTH & REHAB
Street 1621 E 42ND ST
City TEXARKANA
State AR
ZIP 71854
Phone 870 774-3581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SARAH GAITHER

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