04D2209627 CLIA NUMBER - ARKANSAS ANATOMIC PATHOLOGY LABORATORY DOCTORS ANATOMIC PATHOLOGY SERVICES PA

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Laboratory Demographics

CLIA Number: 04D2209627

Facility Name: ARKANSAS ANATOMIC PATHOLOGY LABORATORY DOCTORS ANATOMIC PATHOLOGY SERVICES PA

Facility Address:
1710 HARRISON ST
BATESVILLE, AR
ZIP 72501
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Facility Phone Number: 870 930-3578

Facility Type: Independent

Certificate Type: Certificate of Compliance

NPI Number: 1811189178

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	04D2209627
LAB Type	Independent
Facility Name	ARKANSAS ANATOMIC PATHOLOGY LABORATORY DOCTORS ANATOMIC PATHOLOGY SERVICES PA
Street	1710 HARRISON ST
City	BATESVILLE
State	AR
ZIP	72501
Phone	870 930-3578
CertificateType	2
CertificateEffectiveDate	1/13/2024
CertificateExpirationDate	1/12/2026
FacilityType	Compliance

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