04D2199261 CLIA NUMBER - HEALING HANDS ADDICTION CENTER

Laboratory Demographics

  • CLIA Code: 04D2199261
  • Facility Name: HEALING HANDS ADDICTION CENTER
  • Facility Address: 400 S MAIN STREET
    CROSSETT, AR
    ZIP 71635
  • Facility Phone: 870 466-4400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROGER MASON
  • NPI Number: 1659980159
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D2199261
LAB Type Physician Office
Facility Name HEALING HANDS ADDICTION CENTER
Street 400 S MAIN STREET
City CROSSETT
State AR
ZIP 71635
Phone 870 466-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Physician Office
Lab Director DR. ROGER MASON

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