04D2199980 CLIA NUMBER - RUSSELLVILLE SCHOOL DISTRICT RUSSELLVILLE JUNIOR HIGH

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Laboratory Demographics

CLIA Number: 04D2199980

Facility Name: RUSSELLVILLE SCHOOL DISTRICT RUSSELLVILLE JUNIOR HIGH

Facility Address:
2000 WEST PARKWAY
RUSSELLVILLE, AR
ZIP 72802
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Facility Phone Number: 479 968-5099

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1184730319

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name	Field Value
CLIA Number	04D2199980
LAB Type	School/Student Health Service
Facility Name	RUSSELLVILLE SCHOOL DISTRICT RUSSELLVILLE JUNIOR HIGH
Street	2000 WEST PARKWAY
City	RUSSELLVILLE
State	AR
ZIP	72802
Phone	479 968-5099
CertificateType	4
CertificateEffectiveDate	11/12/2022
CertificateExpirationDate	11/11/2024
FacilityType	Waiver

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