04D2233763 CLIA NUMBER - LUMINA BEHAVIORAL HEALTH

Laboratory Demographics

CLIA Number: 04D2233763

Facility Name: LUMINA BEHAVIORAL HEALTH

Facility Address:
4301 SOUTH 16TH STREET
FORT SMITH, AR
ZIP 72908
Get Directions

Facility Phone Number: 479 242-1003

Facility Type: Other - MENTAL HEALTH CLINIC

Certificate Type: Waiver

NPI Number: 1154894954

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	04D2233763
LAB Type	Other - MENTAL HEALTH CLINIC
Facility Name	LUMINA BEHAVIORAL HEALTH
Street	4301 SOUTH 16TH STREET
City	FORT SMITH
State	AR
ZIP	72908
Phone	479 242-1003
CertificateType	4
CertificateEffectiveDate	8/25/2023
CertificateExpirationDate	8/24/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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