04D2298327 CLIA NUMBER - RIVER VALLEY GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 04D2298327
  • Facility Name: RIVER VALLEY GASTROENTEROLOGY
  • Facility Address: 9001 JENNY LIND ROAD, STE 2
    FORT SMITH, AR
    ZIP 72908
  • Facility Phone: 501 225-1400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CHRISTINE PESOLI
  • NPI Number: 1346016185
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2298327
LAB Type Physician Office
Facility Name RIVER VALLEY GASTROENTEROLOGY
Street 9001 JENNY LIND ROAD, STE 2
City FORT SMITH
State AR
ZIP 72908
Phone 501 225-1400
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director DR. CHRISTINE PESOLI

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