04D2203965 CLIA NUMBER - BLEVINS SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 04D2203965
  • Facility Name: BLEVINS SCHOOL DISTRICT
  • Facility Address: 5954 HWY 29 N
    BLEVINS, AR
    ZIP 71825
  • Facility Phone: 870 874-2801
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: STEPHANIE DIXON
  • NPI Number: 1659422715
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 04D2203965
LAB Type School/Student Health Service
Facility Name BLEVINS SCHOOL DISTRICT
Street 5954 HWY 29 N
City BLEVINS
State AR
ZIP 71825
Phone 870 874-2801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type School/Student Health Service
Lab Director STEPHANIE DIXON

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