04D2265067 CLIA NUMBER - MAYFIELD AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 04D2265067
  • Facility Name: MAYFIELD AMBULATORY SURGERY CENTER
  • Facility Address: 1710 MAYFIELD DRIVE
    JONESBORO, AR
    ZIP 72401
  • Facility Phone: 501 766-1065
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MS. ELIZABETH WADDELL
  • NPI Number: 1245985407
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2265067
LAB Type Ambulatory Surgery Center
Facility Name MAYFIELD AMBULATORY SURGERY CENTER
Street 1710 MAYFIELD DRIVE
City JONESBORO
State AR
ZIP 72401
Phone 501 766-1065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Ambulatory Surgery Center
Lab Director MS. ELIZABETH WADDELL

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