04D2018784 CLIA NUMBER - CHI ST VINCENT HEALTH AT HOME - MORRILTON

Laboratory Demographics

  • CLIA Code: 04D2018784
  • Facility Name: CHI ST VINCENT HEALTH AT HOME - MORRILTON
  • Facility Address: 4 HOSPITAL DRIVE, SUITE 205
    MORRILTON, AR
    ZIP 72110
  • Facility Phone: 501 354-6262
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LARVERNE CHISUM
  • NPI Number: 1891778049
  • Taxonomy: 282NC0060X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2018784
LAB Type Home Health Agency
Facility Name CHI ST VINCENT HEALTH AT HOME - MORRILTON
Street 4 HOSPITAL DRIVE, SUITE 205
City MORRILTON
State AR
ZIP 72110
Phone 501 354-6262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Home Health Agency
Lab Director LARVERNE CHISUM

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