04D2265956 CLIA NUMBER - EAGLE MOUNTAIN ELEMENTARY

Laboratory Demographics

  • CLIA Code: 04D2265956
  • Facility Name: EAGLE MOUNTAIN ELEMENTARY
  • Facility Address: 600 EAGLE MTN BLVD
    BATESVILLE, AR
    ZIP 72501
  • Facility Phone: 870 698-9141
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JEANNIE HENDERSON
  • NPI Number: 1407119985
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 04D2265956
LAB Type School/Student Health Service
Facility Name EAGLE MOUNTAIN ELEMENTARY
Street 600 EAGLE MTN BLVD
City BATESVILLE
State AR
ZIP 72501
Phone 870 698-9141
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 JEANNIE HENDERSON

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