04D0468429 CLIA NUMBER - MERCY CLINIC BERRYVILLE

Laboratory Demographics

  • CLIA Code: 04D0468429
  • Facility Name: MERCY CLINIC BERRYVILLE
  • Facility Address: 207 CARTER STREET
    BERRYVILLE, AR
    ZIP 72616
  • Facility Phone: 870 423-6661
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PHILLIP E. FERGUSON
  • NPI Number: 1164064168
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0468429
LAB Type Physician Office
Facility Name MERCY CLINIC BERRYVILLE
Street 207 CARTER STREET
City BERRYVILLE
State AR
ZIP 72616
Phone 870 423-6661
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 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director PHILLIP E. FERGUSON

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