04D0465244 CLIA NUMBER - MICHELE A PASHKEVICH MD

Laboratory Demographics

  • CLIA Code: 04D0465244
  • Facility Name: MICHELE A PASHKEVICH MD
  • Facility Address: 1708 WEST 42ND
    PINE BLUFF, AR
    ZIP 71603
  • Facility Phone: 870 536-7300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHELE A. PASHKEVICH
  • NPI Number: 1659319879
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0465244
LAB Type Physician Office
Facility Name MICHELE A PASHKEVICH MD
Street 1708 WEST 42ND
City PINE BLUFF
State AR
ZIP 71603
Phone 870 536-7300
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MICHELE A. PASHKEVICH

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