04D2149528 CLIA NUMBER - OUACHITA COUNTY MEDICAL CENTER EMS

Laboratory Demographics

CLIA Number: 04D2149528

Facility Name: OUACHITA COUNTY MEDICAL CENTER EMS

Facility Address:
638 CALIFORNIA AVE SW
CAMDEN, AR
ZIP 71701
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Facility Phone Number: 870 836-1393

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1265471064

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	04D2149528
LAB Type	Ambulance
Facility Name	OUACHITA COUNTY MEDICAL CENTER EMS
Street	638 CALIFORNIA AVE SW
City	CAMDEN
State	AR
ZIP	71701
Phone	870 836-1393
CertificateType	4
CertificateEffectiveDate	6/5/2022
CertificateExpirationDate	6/4/2024
FacilityType	Waiver

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