04D0468136 CLIA NUMBER - POCAHONTAS MEDICAL CLINIC P A

Laboratory Demographics

CLIA Number: 04D0468136

Facility Name: POCAHONTAS MEDICAL CLINIC P A

Facility Address:
2901 MEDICAL CENTER DRIVE, SUITE 500
POCAHONTAS, AR
ZIP 72455
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Facility Phone Number: 870 892-4467

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1700554177

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	04D0468136
LAB Type	Physician Office
Facility Name	POCAHONTAS MEDICAL CLINIC P A
Street	2901 MEDICAL CENTER DRIVE, SUITE 500
City	POCAHONTAS
State	AR
ZIP	72455
Phone	870 892-4467
CertificateType	2
CertificateEffectiveDate	12/27/2023
CertificateExpirationDate	12/26/2025
FacilityType	Compliance

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