45D0937386 CLIA NUMBER - PAM SPECIALTY HOSPITAL OF TEXARKANA NORTH

Laboratory Demographics

  • CLIA Code: 45D0937386
  • Facility Name: PAM SPECIALTY HOSPITAL OF TEXARKANA NORTH
  • Facility Address: 2400 ST MICHAEL DRIVE 2ND FLOOR
    TEXARKANA, TX
    ZIP 75503
  • Facility Phone: 903 614-7600
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DEWITT C. FORTENBERRY
  • NPI Number: 1225439821
  • Taxonomy: 282E00000X - Long Term Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D0937386
LAB Type Hospital
Facility Name PAM SPECIALTY HOSPITAL OF TEXARKANA NORTH
Street 2400 ST MICHAEL DRIVE 2ND FLOOR
City TEXARKANA
State TX
ZIP 75503
Phone 903 614-7600
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Hospital
Lab Director DEWITT C. FORTENBERRY

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