04D2193107 CLIA NUMBER - KIRBY SCHOOL DISTRICT SCHOOL BASED HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 04D2193107
  • Facility Name: KIRBY SCHOOL DISTRICT SCHOOL BASED HEALTH CLINIC
  • Facility Address: 2614 HWY 27 N
    KIRBY, AR
    ZIP 71950
  • Facility Phone: 870 398-4211
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: HEATHER FUNDERBURK
  • NPI Number: 1932307519
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 04D2193107
LAB Type School/Student Health Service
Facility Name KIRBY SCHOOL DISTRICT SCHOOL BASED HEALTH CLINIC
Street 2614 HWY 27 N
City KIRBY
State AR
ZIP 71950
Phone 870 398-4211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type School/Student Health Service
Lab Director HEATHER FUNDERBURK

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