04D2072194 CLIA NUMBER - ST BERNARD'S LABORATORY - MANILA

Laboratory Demographics

  • CLIA Code: 04D2072194
  • Facility Name: ST BERNARD'S LABORATORY - MANILA
  • Facility Address: 3644 WEST STATE HWY 18
    MANILA, AR
    ZIP 72442
  • Facility Phone: 870 570-0193
  • Facility Type: Other - REFERENCE LAB
  • Facility Type: Accreditation
  • Lab Director: DR. ELIZABETH W. SALES
  • NPI Number: 1275204307
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2072194
LAB Type Other - REFERENCE LAB
Facility Name ST BERNARD'S LABORATORY - MANILA
Street 3644 WEST STATE HWY 18
City MANILA
State AR
ZIP 72442
Phone 870 570-0193
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Other - REFERENCE LAB
Lab Director DR. ELIZABETH W. SALES

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