04D0465285 CLIA NUMBER - MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 04D0465285
  • Facility Name: MEDICAL ASSOCIATES
  • Facility Address: 4201 MULBERRY STREET
    PINE BLUFF, AR
    ZIP 71603
  • Facility Phone: 870 535-2200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN D. DEDMAN
  • NPI Number: 1386670057
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0465285
LAB Type Physician Office
Facility Name MEDICAL ASSOCIATES
Street 4201 MULBERRY STREET
City PINE BLUFF
State AR
ZIP 71603
Phone 870 535-2200
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 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director JOHN D. DEDMAN

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