04D1091240 CLIA NUMBER - IZARD REGIONAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 04D1091240
  • Facility Name: IZARD REGIONAL HOSPITAL
  • Facility Address: 61 GRASSE STREET
    CALICO ROCK, AR
    ZIP 72519
  • Facility Phone: 870 297-2476
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER G. WEBB
  • NPI Number: 1881635993
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 04D1091240
LAB Type Rural Health Clinic
Facility Name IZARD REGIONAL HOSPITAL
Street 61 GRASSE STREET
City CALICO ROCK
State AR
ZIP 72519
Phone 870 297-2476
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Rural Health Clinic
Lab Director CHRISTOPHER G. WEBB

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