04D2309006 CLIA NUMBER - FOX RIDGE BRYANT ARHC FRBRYAR01 TRS LLC

Laboratory Demographics

  • CLIA Code: 04D2309006
  • Facility Name: FOX RIDGE BRYANT ARHC FRBRYAR01 TRS LLC
  • Facility Address: 4216 FOX RIDGE DRIVE
    BRYANT, AR
    ZIP 72022
  • Facility Phone: 501 847-3400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JEFFERY WRIGHT
  • NPI Number: 1093168643
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D2309006
LAB Type Assisted Living Facility
Facility Name FOX RIDGE BRYANT ARHC FRBRYAR01 TRS LLC
Street 4216 FOX RIDGE DRIVE
City BRYANT
State AR
ZIP 72022
Phone 501 847-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Assisted Living Facility
Lab Director JEFFERY WRIGHT

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