04D2157387 CLIA NUMBER - ST BERNARDS PHYSICIAN CLINICS, INC

Laboratory Demographics

  • CLIA Code: 04D2157387
  • Facility Name: ST BERNARDS PHYSICIAN CLINICS, INC
  • Facility Address: 1995 HWY 62/412
    HARDY, AR
    ZIP 72542
  • Facility Phone: 870 856-5620
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHELLE HOLMES
  • NPI Number: 1154812402
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2157387
LAB Type Physician Office
Facility Name ST BERNARDS PHYSICIAN CLINICS, INC
Street 1995 HWY 62/412
City HARDY
State AR
ZIP 72542
Phone 870 856-5620
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director MICHELLE HOLMES

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