04D0466501 CLIA NUMBER - UNITY HEALTH GREEN FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 04D0466501
  • Facility Name: UNITY HEALTH GREEN FAMILY PRACTICE
  • Facility Address: 1200 MCLAIN ST, SUITE G
    NEWPORT, AR
    ZIP 72112
  • Facility Phone: 870 523-3289
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRANDY PARKRIDGE
  • NPI Number: 1740940220
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 04D0466501
LAB Type Physician Office
Facility Name UNITY HEALTH GREEN FAMILY PRACTICE
Street 1200 MCLAIN ST, SUITE G
City NEWPORT
State AR
ZIP 72112
Phone 870 523-3289
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Physician Office
Lab Director BRANDY PARKRIDGE

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