04D2329113 CLIA NUMBER - WHITE RIVER HEALTH BEHAVIORAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 04D2329113
  • Facility Name: WHITE RIVER HEALTH BEHAVIORAL HEALTH CLINIC
  • Facility Address: 2230 HARRISON ST
    BATESVILLE, AR
    ZIP 72501
  • Facility Phone: 870 698-2100
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KRISTY WEST
  • NPI Number: 1710952650
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 04D2329113
LAB Type Community Clinic
Facility Name WHITE RIVER HEALTH BEHAVIORAL HEALTH CLINIC
Street 2230 HARRISON ST
City BATESVILLE
State AR
ZIP 72501
Phone 870 698-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Community Clinic
Lab Director KRISTY WEST

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