04D2016482 CLIA NUMBER - JONES SCHOOL BASED HEALTH CENTER

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Laboratory Demographics

CLIA Number: 04D2016482

Facility Name: JONES SCHOOL BASED HEALTH CENTER

Facility Address:
900 SOUTH POWELL STREET
SPRINGDALE, AR
ZIP 72764
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Facility Phone Number: 479 751-7417

Facility Type: School/Student Health Service

Certificate Type: Microscopy

NPI Number: 1023328002

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	04D2016482
LAB Type	School/Student Health Service
Facility Name	JONES SCHOOL BASED HEALTH CENTER
Street	900 SOUTH POWELL STREET
City	SPRINGDALE
State	AR
ZIP	72764
Phone	479 751-7417
CertificateType	3
CertificateEffectiveDate	11/18/2022
CertificateExpirationDate	11/17/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024