04D2318235 CLIA NUMBER - VITAL STEPS RECOVERY

Laboratory Demographics

  • CLIA Code: 04D2318235
  • Facility Name: VITAL STEPS RECOVERY
  • Facility Address: 300 OLIVE STREET SUITE 507
    TEXARKANA, AR
    ZIP 71854
  • Facility Phone: 870 330-4060
  • Facility Type: Other - SUBSTANCE ABUSE FACILITY
  • Facility Type: Waiver
  • Lab Director: CODY PHIPPS
  • NPI Number: 1215741525
  • Taxonomy: 261QR0401X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2318235
LAB Type Other - SUBSTANCE ABUSE FACILITY
Facility Name VITAL STEPS RECOVERY
Street 300 OLIVE STREET SUITE 507
City TEXARKANA
State AR
ZIP 71854
Phone 870 330-4060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Other - SUBSTANCE ABUSE FACILITY
Lab Director CODY PHIPPS

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