04D2194589 CLIA NUMBER - SARC BY HSH ASC PINE BLUFF

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Laboratory Demographics

CLIA Number: 04D2194589

Facility Name: SARC BY HSH ASC PINE BLUFF

Facility Address:
7200 S HAZEL ST
PINE BLUFF, AR
ZIP 71603
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Facility Phone Number: 870 939-6380

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1831721570

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	04D2194589
LAB Type	Ambulatory Surgery Center
Facility Name	SARC BY HSH ASC PINE BLUFF
Street	7200 S HAZEL ST
City	PINE BLUFF
State	AR
ZIP	71603
Phone	870 939-6380
CertificateType	4
CertificateEffectiveDate	10/1/2022
CertificateExpirationDate	9/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024