04D2066166 CLIA NUMBER - COMPASS HEALTHCARE, LLC

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Laboratory Demographics

CLIA Number: 04D2066166

Facility Name: COMPASS HEALTHCARE, LLC

Facility Address:
2606 PINE STREET
ARKADELPHIA, AR
ZIP 71923
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Facility Phone Number: 870 245-6418

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1861829699

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	04D2066166
LAB Type	Physician Office
Facility Name	COMPASS HEALTHCARE, LLC
Street	2606 PINE STREET
City	ARKADELPHIA
State	AR
ZIP	71923
Phone	870 245-6418
CertificateType	4
CertificateEffectiveDate	10/8/2022
CertificateExpirationDate	10/7/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024