04D0467888 CLIA NUMBER - BAPTIST URGENT CLINIC URGENT TEAM OF ARKANSAS PHYSICIANS, LLC

Laboratory Demographics

  • CLIA Code: 04D0467888
  • Facility Name: BAPTIST URGENT CLINIC URGENT TEAM OF ARKANSAS PHYSICIANS, LLC
  • Facility Address: 411 SOUTH FALLS BLVD
    WYNNE, AR
    ZIP 72396
  • Facility Phone: 870 238-3261
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ALLISON R. SHIPMAN
  • NPI Number: 1437194222
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0467888
LAB Type Physician Office
Facility Name BAPTIST URGENT CLINIC URGENT TEAM OF ARKANSAS PHYSICIANS, LLC
Street 411 SOUTH FALLS BLVD
City WYNNE
State AR
ZIP 72396
Phone 870 238-3261
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director DR. ALLISON R. SHIPMAN

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