04D0465474 CLIA NUMBER - DAN MARTIN, MD

Laboratory Demographics

CLIA Number: 04D0465474

Facility Name: DAN MARTIN, MD

Facility Address:
476 HOSPITAL DR SW
CAMDEN, AR
ZIP 71701
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Facility Phone Number: 870 836-6627

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1508863267

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	04D0465474
LAB Type	Physician Office
Facility Name	DAN MARTIN, MD
Street	476 HOSPITAL DR SW
City	CAMDEN
State	AR
ZIP	71701
Phone	870 836-6627
CertificateType	1
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024