04D2157386 CLIA NUMBER - ST BERNARDS PHYSICIAN CLINICS, INC

Laboratory Demographics

  • CLIA Code: 04D2157386
  • Facility Name: ST BERNARDS PHYSICIAN CLINICS, INC
  • Facility Address: 700 W KEISER
    OSCEOLA, AR
    ZIP 72370
  • Facility Phone: 870 563-0757
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE HOLMES
  • NPI Number: 1851867071
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2157386
LAB Type Physician Office
Facility Name ST BERNARDS PHYSICIAN CLINICS, INC
Street 700 W KEISER
City OSCEOLA
State AR
ZIP 72370
Phone 870 563-0757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Physician Office
Lab Director MICHELLE HOLMES

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