04D0465827 CLIA NUMBER - PHYSICIANS FOR WOMEN ARKANSAS HEALTHCARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 04D0465827
  • Facility Name: PHYSICIANS FOR WOMEN ARKANSAS HEALTHCARE SERVICES LLC
  • Facility Address: 1900 MALVERN AVENUE, SUITE 401
    HOT SPRINGS, AR
    ZIP 71901
  • Facility Phone: 501 781-2406
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. COLGROVE
  • NPI Number: 1487648275
  • Taxonomy: 363LX0001X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 04D0465827
LAB Type Physician Office
Facility Name PHYSICIANS FOR WOMEN ARKANSAS HEALTHCARE SERVICES LLC
Street 1900 MALVERN AVENUE, SUITE 401
City HOT SPRINGS
State AR
ZIP 71901
Phone 501 781-2406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Physician Office
Lab Director MICHAEL E. COLGROVE

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