04D2199261 CLIA NUMBER - HEALING HANDS ADDICTION CENTER

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Laboratory Demographics

CLIA Number: 04D2199261

Facility Name: HEALING HANDS ADDICTION CENTER

Facility Address:
614 N MARTIN ST
WARREN, AR
ZIP 71671
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Facility Phone Number: 870 466-4400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659980159

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	04D2199261
LAB Type	Physician Office
Facility Name	HEALING HANDS ADDICTION CENTER
Street	614 N MARTIN ST
City	WARREN
State	AR
ZIP	71671
Phone	870 466-4400
CertificateType	4
CertificateEffectiveDate	11/6/2022
CertificateExpirationDate	11/5/2024
FacilityType	Waiver

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