04D2319088 CLIA NUMBER - METHODIST CHILDREN'S BEHAVIORAL HOSPITAL OF JONESBORO

Laboratory Demographics

  • CLIA Code: 04D2319088
  • Facility Name: METHODIST CHILDREN'S BEHAVIORAL HOSPITAL OF JONESBORO
  • Facility Address: 3024 RED WOLF BLVD
    JONESBORO, AR
    ZIP 72401
  • Facility Phone: 870 819-4053
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: ARKAYLA BEAMON
  • NPI Number: 1821236720
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2319088
LAB Type Hospital
Facility Name METHODIST CHILDREN'S BEHAVIORAL HOSPITAL OF JONESBORO
Street 3024 RED WOLF BLVD
City JONESBORO
State AR
ZIP 72401
Phone 870 819-4053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Hospital
Lab Director ARKAYLA BEAMON

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