04D2064126 CLIA NUMBER - SOUTHWEST EMS, INC

Laboratory Demographics

  • CLIA Code: 04D2064126
  • Facility Name: SOUTHWEST EMS, INC
  • Facility Address: 1311-C HWY 71 N
    MENA, AR
    ZIP 71953
  • Facility Phone: 479 394-7300
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SHERRI L. HINES
  • NPI Number: 1245316025
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 04D2064126
LAB Type Ambulance
Facility Name SOUTHWEST EMS, INC
Street 1311-C HWY 71 N
City MENA
State AR
ZIP 71953
Phone 479 394-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Ambulance
Lab Director SHERRI L. HINES

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