04D2072494 CLIA NUMBER - ARKANSAS HEART HOSPITAL CLINIC - EL DORADO

Laboratory Demographics

  • CLIA Code: 04D2072494
  • Facility Name: ARKANSAS HEART HOSPITAL CLINIC - EL DORADO
  • Facility Address: 704 SOUTH TIMBERLANE
    EL DORADO, AR
    ZIP 71730
  • Facility Phone: 501 219-7880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN KERR
  • NPI Number: 1275508681
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2072494
LAB Type Physician Office
Facility Name ARKANSAS HEART HOSPITAL CLINIC - EL DORADO
Street 704 SOUTH TIMBERLANE
City EL DORADO
State AR
ZIP 71730
Phone 501 219-7880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Physician Office
Lab Director SUSAN KERR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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