04D0467525 CLIA NUMBER - CENTRAL ARKANSAS PEDIATRIC CLINIC

Laboratory Demographics

CLIA Number: 04D0467525

Facility Name: CENTRAL ARKANSAS PEDIATRIC CLINIC

Facility Address:
2301 SPRINGHILL ROAD, SUITE 200
BENTON, AR
ZIP 72019
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Facility Phone Number: 501 847-2500

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1124057088

Taxonomy: 173000000X - Legal Medicine
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

CLIA Record

Field Name	Field Value
CLIA Number	04D0467525
LAB Type	Physician Office
Facility Name	CENTRAL ARKANSAS PEDIATRIC CLINIC
Street	2301 SPRINGHILL ROAD, SUITE 200
City	BENTON
State	AR
ZIP	72019
Phone	501 847-2500
CertificateType	2
CertificateEffectiveDate	1/19/2023
CertificateExpirationDate	1/18/2025
FacilityType	Compliance

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