04D0468315 CLIA NUMBER - MELBOURNE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 04D0468315
  • Facility Name: MELBOURNE MEDICAL CLINIC
  • Facility Address: 1526 EAST MAIN STREET
    MELBOURNE, AR
    ZIP 72556
  • Facility Phone: 870 368-4344
  • Facility Type: Rural Health Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: MS. CHRISTIE WYATT
  • NPI Number: 1477523348
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0468315
LAB Type Rural Health Clinic
Facility Name MELBOURNE MEDICAL CLINIC
Street 1526 EAST MAIN STREET
City MELBOURNE
State AR
ZIP 72556
Phone 870 368-4344
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 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Rural Health Clinic
Lab Director MS. CHRISTIE WYATT

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