04D2177406 CLIA NUMBER - EXACTA LABORATORY SYSTEMS

Laboratory Demographics

  • CLIA Code: 04D2177406
  • Facility Name: EXACTA LABORATORY SYSTEMS
  • Facility Address: 2400 E KIEHL AVE
    SHERWOOD, AR
    ZIP 72120
  • Facility Phone: 866 339-2282
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. JAMES H. GOLLEHER
  • NPI Number: 1629632203
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 04D2177406
LAB Type Independent
Facility Name EXACTA LABORATORY SYSTEMS
Street 2400 E KIEHL AVE
City SHERWOOD
State AR
ZIP 72120
Phone 866 339-2282
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Independent
Lab Director DR. JAMES H. GOLLEHER

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