04D2195959 CLIA NUMBER - BEHAVIORAL HEALTH PROGRAM

Laboratory Demographics

  • CLIA Code: 04D2195959
  • Facility Name: BEHAVIORAL HEALTH PROGRAM
  • Facility Address: 154 HUNTSVILLE ROAD
    EUREKA SPRINGS, AR
    ZIP 72632
  • Facility Phone: 949 313-5240
  • Facility Type: Other - RESIDENTIAL SUBSTANCE ABU
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT TOMLISON
  • NPI Number: 1265090518
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D2195959
LAB Type Other - RESIDENTIAL SUBSTANCE ABU
Facility Name BEHAVIORAL HEALTH PROGRAM
Street 154 HUNTSVILLE ROAD
City EUREKA SPRINGS
State AR
ZIP 72632
Phone 949 313-5240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Other - RESIDENTIAL SUBSTANCE ABU
Lab Director DR. ROBERT TOMLISON

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