04D2265942 CLIA NUMBER - BATESVILLE HIGH SCHOOL CHARTER

Laboratory Demographics

  • CLIA Code: 04D2265942
  • Facility Name: BATESVILLE HIGH SCHOOL CHARTER
  • Facility Address: #1 PIONEER DRIVE
    BATESVILLE, AR
    ZIP 72501
  • Facility Phone: 870 793-6846
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: BRANDI FLEETWOOD
  • NPI Number: 1720037914
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 04D2265942
LAB Type School/Student Health Service
Facility Name BATESVILLE HIGH SCHOOL CHARTER
Street #1 PIONEER DRIVE
City BATESVILLE
State AR
ZIP 72501
Phone 870 793-6846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type School/Student Health Service
Lab Director BRANDI FLEETWOOD

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