04D2212881 CLIA NUMBER - PINE BLUFF SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 04D2212881
  • Facility Name: PINE BLUFF SCHOOL DISTRICT
  • Facility Address: 4900 DOLLARWAY ROAD
    PINE BLUFF, AR
    ZIP 71602
  • Facility Phone: 870 850-6007
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MAE HAWKINS-COLEMAN
  • NPI Number: 1235358102
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 04D2212881
LAB Type School/Student Health Service
Facility Name PINE BLUFF SCHOOL DISTRICT
Street 4900 DOLLARWAY ROAD
City PINE BLUFF
State AR
ZIP 71602
Phone 870 850-6007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type School/Student Health Service
Lab Director MAE HAWKINS-COLEMAN

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