04D2050176 CLIA NUMBER - POPE COUNTY EMS

Laboratory Demographics

  • CLIA Code: 04D2050176
  • Facility Name: POPE COUNTY EMS
  • Facility Address: 3 COUNTY COMPLEX CIRCLE
    RUSSELLVILLE, AR
    ZIP 72802
  • Facility Phone: 479 968-8222
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LARRY FOX
  • NPI Number: 1376651521
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 04D2050176
LAB Type Ambulance
Facility Name POPE COUNTY EMS
Street 3 COUNTY COMPLEX CIRCLE
City RUSSELLVILLE
State AR
ZIP 72802
Phone 479 968-8222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Ambulance
Lab Director LARRY FOX

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