04D2150838 CLIA NUMBER - MARVELL-ELAINE SCHOOL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 04D2150838
  • Facility Name: MARVELL-ELAINE SCHOOL HEALTH CENTER
  • Facility Address: 1018 US49
    MARVELL, AR
    ZIP 72366
  • Facility Phone: 870 733-6376
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. HOLLI BANKS-GILES
  • NPI Number: 1295752376
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2150838
LAB Type School/Student Health Service
Facility Name MARVELL-ELAINE SCHOOL HEALTH CENTER
Street 1018 US49
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 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type School/Student Health Service
Lab Director DR. HOLLI BANKS-GILES

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