04D0467720 CLIA NUMBER - OB-GYN CENTER

Laboratory Demographics

  • CLIA Code: 04D0467720
  • Facility Name: OB-GYN CENTER
  • Facility Address: 305 VIRGINIA DR
    BATESVILLE, AR
    ZIP 72501
  • Facility Phone: 870 698-0300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CLINTON G. MELTON M D
  • NPI Number: 1205950326
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 04D0467720
LAB Type Physician Office
Facility Name OB-GYN CENTER
Street 305 VIRGINIA DR
City BATESVILLE
State AR
ZIP 72501
Phone 870 698-0300
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director CLINTON G. MELTON M D

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