04D2249880 CLIA NUMBER - DOCTOR'S ORDERS INFUSION SERVICES

Laboratory Demographics

CLIA Number: 04D2249880

Facility Name: DOCTOR'S ORDERS INFUSION SERVICES

Facility Address:
2302 W 28TH AVENUE, STE D
PINE BLUFF, AR
ZIP 71603
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Facility Phone Number: 870 218-1718

Facility Type: Other - CLINICAL INFUSION CENTER

Certificate Type: Waiver

NPI Number: 1932878428

Taxonomy: 261QI0500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	04D2249880
LAB Type	Other - CLINICAL INFUSION CENTER
Facility Name	DOCTOR'S ORDERS INFUSION SERVICES
Street	2302 W 28TH AVENUE, STE D
City	PINE BLUFF
State	AR
ZIP	71603
Phone	870 218-1718
CertificateType	4
CertificateEffectiveDate	1/24/2024
CertificateExpirationDate	1/23/2026
FacilityType	Waiver

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