04D2155025 CLIA NUMBER - INTERVENTIONAL SURGERY INSTITUTE OF WHITE HALL

Laboratory Demographics

CLIA Number: 04D2155025

Facility Name: INTERVENTIONAL SURGERY INSTITUTE OF WHITE HALL

Facility Address:
7211DOLLARWAY RD
WHITE HALL, AR
ZIP 71602
Get Directions

Facility Phone Number: 501 242-8358

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1609399963

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	04D2155025
LAB Type	Ambulatory Surgery Center
Facility Name	INTERVENTIONAL SURGERY INSTITUTE OF WHITE HALL
Street	7211DOLLARWAY RD
City	WHITE HALL
State	AR
ZIP	71602
Phone	501 242-8358
CertificateType	4
CertificateEffectiveDate	9/21/2022
CertificateExpirationDate	9/20/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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