01D0468697 CLIA NUMBER - MERCY CLINIC MOBERLY

Laboratory Demographics

CLIA Number: 01D0468697

Facility Name: MERCY CLINIC MOBERLY

Facility Address:
2900 MOBERLY LANE
BENTONVILLE, AR
ZIP 72712
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Facility Phone Number: (479) 338-5321

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	01D0468697
LAB Type	PHYSICIAN OFFICE
Facility Name	MERCY CLINIC MOBERLY
Street	2900 MOBERLY LANE
City	BENTONVILLE
State	AR
ZIP	72712
Phone	(479) 338-5321

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This page was last updated on: 5/11/2023