04D2325779 CLIA NUMBER - PEAK STATE RECOVERY

Laboratory Demographics

  • CLIA Code: 04D2325779
  • Facility Name: PEAK STATE RECOVERY
  • Facility Address: 22265 AR-9
    PARON, AR
    ZIP 72122
  • Facility Phone: 501 209-3764
  • Facility Type: Other - SUBSTANCE ABUSE MENTAL HE
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER DICKIE
  • NPI Number: 1720815129
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2325779
LAB Type Other - SUBSTANCE ABUSE MENTAL HE
Facility Name PEAK STATE RECOVERY
Street 22265 AR-9
City PARON
State AR
ZIP 72122
Phone 501 209-3764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Other - SUBSTANCE ABUSE MENTAL HE
Lab Director CHRISTOPHER DICKIE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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