04D2019606 CLIA NUMBER - LAKE POINT RECOVERY AND WELLNESS ARVAC, INC

Laboratory Demographics

  • CLIA Code: 04D2019606
  • Facility Name: LAKE POINT RECOVERY AND WELLNESS ARVAC, INC
  • Facility Address: 83 ARVAC LANE
    RUSSELLVILLE, AR
    ZIP 72802
  • Facility Phone: 479 968-7086
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. LESLIE SMITH
  • NPI Number: 1063551265
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D2019606
LAB Type Comp. Outpatient Rehab Facility
Facility Name LAKE POINT RECOVERY AND WELLNESS ARVAC, INC
Street 83 ARVAC LANE
City RUSSELLVILLE
State AR
ZIP 72802
Phone 479 968-7086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. LESLIE SMITH

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