04D2156669 CLIA NUMBER - JEFFERSON REGIONAL- CROSSETT CLINIC

Laboratory Demographics

CLIA Number: 04D2156669

Facility Name: JEFFERSON REGIONAL- CROSSETT CLINIC

Facility Address:
201 FAIRVIEW, SUITE A
CROSSETT, AR
ZIP 71635
Get Directions

Facility Phone Number: 870 364-0000

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1225799646

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	04D2156669
LAB Type	Physician Office
Facility Name	JEFFERSON REGIONAL- CROSSETT CLINIC
Street	201 FAIRVIEW, SUITE A
City	CROSSETT
State	AR
ZIP	71635
Phone	870 364-0000
CertificateType	1
CertificateEffectiveDate	7/26/2022
CertificateExpirationDate	7/25/2024
FacilityType	Accreditation

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