04D2276825 CLIA NUMBER - ARKANSAS HEART HOSPITAL CLINIC BATESVILLE

Laboratory Demographics

  • CLIA Code: 04D2276825
  • Facility Name: ARKANSAS HEART HOSPITAL CLINIC BATESVILLE
  • Facility Address: 1500 LAWRENCE STREET
    BATESVILLE, AR
    ZIP 72501
  • Facility Phone: 870 376-5590
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN G. KERR
  • NPI Number: 1215994280
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2276825
LAB Type Physician Office
Facility Name ARKANSAS HEART HOSPITAL CLINIC BATESVILLE
Street 1500 LAWRENCE STREET
City BATESVILLE
State AR
ZIP 72501
Phone 870 376-5590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Physician Office
Lab Director SUSAN G. KERR

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