04D0467747 CLIA NUMBER - JAMES T MEREDITH JR MD PA

Laboratory Demographics

  • CLIA Code: 04D0467747
  • Facility Name: JAMES T MEREDITH JR MD PA
  • Facility Address: 921 HOLIDAY DRIVE
    FORREST CITY, AR
    ZIP 72335
  • Facility Phone: 870 633-4711
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES T. MEREDITH
  • NPI Number: 1639173420
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0467747
LAB Type Physician Office
Facility Name JAMES T MEREDITH JR MD PA
Street 921 HOLIDAY DRIVE
City FORREST CITY
State AR
ZIP 72335
Phone 870 633-4711
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 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director JAMES T. MEREDITH

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