04D2048235 CLIA NUMBER - CENTERWELL HOME HEALTH KAH DEVELOPMENT

Laboratory Demographics

  • CLIA Code: 04D2048235
  • Facility Name: CENTERWELL HOME HEALTH KAH DEVELOPMENT
  • Facility Address: 105 EAST CRANDALL AVENUE, SUITE A
    HARRISON, AR
    ZIP 72601
  • Facility Phone: 870 280-2926
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LESLIE K. SASSER
  • NPI Number: 1003266024
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 04D2048235
LAB Type Home Health Agency
Facility Name CENTERWELL HOME HEALTH KAH DEVELOPMENT
Street 105 EAST CRANDALL AVENUE, SUITE A
City HARRISON
State AR
ZIP 72601
Phone 870 280-2926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Home Health Agency
Lab Director LESLIE K. SASSER

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