04D2300486 CLIA NUMBER - SILOAM SPRINGS MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 04D2300486
  • Facility Name: SILOAM SPRINGS MEDICAL CENTER
  • Facility Address: 451 SOUTH HOLLY ST
    SILOAM SPRINGS, AR
    ZIP 72761
  • Facility Phone: 479 524-3141
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ROGER W. YOUMANS
  • NPI Number: 1184611253
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 04D2300486
LAB Type Federally Qualified Health Center
Facility Name SILOAM SPRINGS MEDICAL CENTER
Street 451 SOUTH HOLLY ST
City SILOAM SPRINGS
State AR
ZIP 72761
Phone 479 524-3141
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 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Federally Qualified Health Center
Lab Director DR. ROGER W. YOUMANS

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