04D2292812 CLIA NUMBER - A TIME FOR PEACE

Laboratory Demographics

  • CLIA Code: 04D2292812
  • Facility Name: A TIME FOR PEACE
  • Facility Address: 208 COBEAN BLVD
    LAKE CITY, AR
    ZIP 72437
  • Facility Phone: 870 237-1329
  • Facility Type: Other - APRN MOBILE LAB
  • Facility Type: Waiver
  • Lab Director: AMBER F. ADAMS
  • NPI Number: 1912392549
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 04D2292812
LAB Type Other - APRN MOBILE LAB
Facility Name A TIME FOR PEACE
Street 208 COBEAN BLVD
City LAKE CITY
State AR
ZIP 72437
Phone 870 237-1329
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Other - APRN MOBILE LAB
Lab Director AMBER F. ADAMS

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