04D2009217 CLIA NUMBER - HEARTLAND REHAB-CARE CTR SALINE SNF OPERATIONS LLC

Laboratory Demographics

  • CLIA Code: 04D2009217
  • Facility Name: HEARTLAND REHAB-CARE CTR SALINE SNF OPERATIONS LLC
  • Facility Address: 19701 INTERSTATE 30
    BENTON, AR
    ZIP 72015
  • Facility Phone: 501 778-8200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ARNETTA BRANDONL
  • NPI Number: 1710207915
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D2009217
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HEARTLAND REHAB-CARE CTR SALINE SNF OPERATIONS LLC
Street 19701 INTERSTATE 30
City BENTON
State AR
ZIP 72015
Phone 501 778-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ARNETTA BRANDONL

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