04D2208435 CLIA NUMBER - BLYTHEVILLE HIGH SCHOOL

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Laboratory Demographics

CLIA Number: 04D2208435

Facility Name: BLYTHEVILLE HIGH SCHOOL

Facility Address:
800 N 10TH STREET
BLYTHEVILLE, AR
ZIP 72315
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Facility Phone Number: 870 278-0184

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1538170956

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	04D2208435
LAB Type	School/Student Health Service
Facility Name	BLYTHEVILLE HIGH SCHOOL
Street	800 N 10TH STREET
City	BLYTHEVILLE
State	AR
ZIP	72315
Phone	870 278-0184
CertificateType	4
CertificateEffectiveDate	1/6/2023
CertificateExpirationDate	1/5/2025
FacilityType	Waiver

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