04D2246602 CLIA NUMBER - COUNSELING ASSOCIATES INC AFFILIATE OF ARISA HEALTH

Laboratory Demographics

  • CLIA Code: 04D2246602
  • Facility Name: COUNSELING ASSOCIATES INC AFFILIATE OF ARISA HEALTH
  • Facility Address: 110 SKYLINE DRIVE
    RUSSELLVILLE, AR
    ZIP 72801
  • Facility Phone: 501 336-8300
  • Facility Type: Other - COMMUNITY MENTAL HEALTH
  • Facility Type: Waiver
  • Lab Director: BRIAN W. DAVIS
  • NPI Number: 1962654251
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2246602
LAB Type Other - COMMUNITY MENTAL HEALTH
Facility Name COUNSELING ASSOCIATES INC AFFILIATE OF ARISA HEALTH
Street 110 SKYLINE DRIVE
City RUSSELLVILLE
State AR
ZIP 72801
Phone 501 336-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Other - COMMUNITY MENTAL HEALTH
Lab Director BRIAN W. DAVIS

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This page was last updated on: 3/20/2025