04D2141159 CLIA NUMBER - EAST ARKANSAS FAMILY HEALTH CENTER-MARVELL

Laboratory Demographics

  • CLIA Code: 04D2141159
  • Facility Name: EAST ARKANSAS FAMILY HEALTH CENTER-MARVELL
  • Facility Address: 1008 WEST MAIN STREET
    MARVELL, AR
    ZIP 72366
  • Facility Phone: 870 733-6376
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. SUSAN WARD-JONES
  • NPI Number: 1922620483
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2141159
LAB Type Community Clinic
Facility Name EAST ARKANSAS FAMILY HEALTH CENTER-MARVELL
Street 1008 WEST MAIN STREET
City MARVELL
State AR
ZIP 72366
Phone 870 733-6376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Community Clinic
Lab Director DR. SUSAN WARD-JONES

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