04D2308860 CLIA NUMBER - BUILDING BETTER LIVES TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 04D2308860
  • Facility Name: BUILDING BETTER LIVES TREATMENT CENTER
  • Facility Address: 546 W GAINES ST
    MONTICELLO, AR
    ZIP 71655
  • Facility Phone: 870 224-5212
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: TANANGELA MOORE
  • NPI Number: 1710721519
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2308860
LAB Type Comp. Outpatient Rehab Facility
Facility Name BUILDING BETTER LIVES TREATMENT CENTER
Street 546 W GAINES ST
City MONTICELLO
State AR
ZIP 71655
Phone 870 224-5212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director TANANGELA MOORE

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