04D0468584 CLIA NUMBER - FAYETTEVILLE DIAGNOSTIC CLINIC MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS

Laboratory Demographics

  • CLIA Code: 04D0468584
  • Facility Name: FAYETTEVILLE DIAGNOSTIC CLINIC MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS
  • Facility Address: 3344 NORTH FUTRALL DRIVE
    FAYETTEVILLE, AR
    ZIP 72703
  • Facility Phone: 479 582-7256
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. LIZHEN GUI
  • NPI Number: 1003867326
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 04D0468584
LAB Type Physician Office
Facility Name FAYETTEVILLE DIAGNOSTIC CLINIC MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS
Street 3344 NORTH FUTRALL DRIVE
City FAYETTEVILLE
State AR
ZIP 72703
Phone 479 582-7256
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 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director DR. LIZHEN GUI

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