04D2187680 CLIA NUMBER - FOUKE SCHOOL HEALTH AND WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 04D2187680
  • Facility Name: FOUKE SCHOOL HEALTH AND WELLNESS CENTER
  • Facility Address: 398 EAST MILTON
    FOUKE, AR
    ZIP 71837
  • Facility Phone: 870 653-7875
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: DR. MATTHEW W. NIX
  • NPI Number: 1003967167
  • Taxonomy: 251300000X - Local Education Agency (LEA)

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2187680
LAB Type School/Student Health Service
Facility Name FOUKE SCHOOL HEALTH AND WELLNESS CENTER
Street 398 EAST MILTON
City FOUKE
State AR
ZIP 71837
Phone 870 653-7875
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type School/Student Health Service
Lab Director DR. MATTHEW W. NIX

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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