04D2140291 CLIA NUMBER - CONWAY BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 04D2140291
  • Facility Name: CONWAY BEHAVIORAL HEALTH
  • Facility Address: 2255 STURGIS ROAD
    CONWAY, AR
    ZIP 72034
  • Facility Phone: 501 205-0011
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: THOMAS STINNETT
  • NPI Number: 1245728484
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 04D2140291
LAB Type Hospital
Facility Name CONWAY BEHAVIORAL HEALTH
Street 2255 STURGIS ROAD
City CONWAY
State AR
ZIP 72034
Phone 501 205-0011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Hospital
Lab Director THOMAS STINNETT

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