04D0465341 CLIA NUMBER - FAMILY CLINIC OF ASHLEY COUNTY PA

Laboratory Demographics

  • CLIA Code: 04D0465341
  • Facility Name: FAMILY CLINIC OF ASHLEY COUNTY PA
  • Facility Address: 909 UNITY ROAD
    CROSSETT, AR
    ZIP 71635
  • Facility Phone: 870 364-9111
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BRENDA K. PERRITT
  • NPI Number: 1639159973
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0465341
LAB Type Physician Office
Facility Name FAMILY CLINIC OF ASHLEY COUNTY PA
Street 909 UNITY ROAD
City CROSSETT
State AR
ZIP 71635
Phone 870 364-9111
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director BRENDA K. PERRITT

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This page was last updated on: 6/4/2025