04D0468124 CLIA NUMBER - PIGGOTT FAMILY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 04D0468124
  • Facility Name: PIGGOTT FAMILY MEDICAL CLINIC
  • Facility Address: 425 W JACKSON STREET
    PIGGOTT, AR
    ZIP 72454
  • Facility Phone: 870 598-2236
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHELLE HOLMES
  • NPI Number: 1326059171
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D0468124
LAB Type Physician Office
Facility Name PIGGOTT FAMILY MEDICAL CLINIC
Street 425 W JACKSON STREET
City PIGGOTT
State AR
ZIP 72454
Phone 870 598-2236
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 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director MICHELLE HOLMES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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