04D0469346 CLIA NUMBER - BAPTIST HEALTH ADULT MEDICINE SPECIALISTS - FS BAPTIST HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 04D0469346
  • Facility Name: BAPTIST HEALTH ADULT MEDICINE SPECIALISTS - FS BAPTIST HEALTH SERVICES
  • Facility Address: 1120 LEXINGTON AVE
    FORT SMITH, AR
    ZIP 72901
  • Facility Phone: 479 709-7260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JON D. HARPER
  • NPI Number: 1750856043
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0469346
LAB Type Physician Office
Facility Name BAPTIST HEALTH ADULT MEDICINE SPECIALISTS - FS BAPTIST HEALTH SERVICES
Street 1120 LEXINGTON AVE
City FORT SMITH
State AR
ZIP 72901
Phone 479 709-7260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director DR. JON D. HARPER

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