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

Laboratory Demographics

CLIA Number: 04D0469346

Facility Name: BAPTIST HEALTH ADULT MEDICINE SPECIALISTS - FS BAPTIST HEALTH SERVICES

Facility Address:
1120 LEXINGTON AVE
FORT SMITH, AR
ZIP 72901
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Facility Phone Number: 479 709-7260

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1750856043

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 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
CertificateType 4
CertificateEffectiveDate 12/13/2023
CertificateExpirationDate 12/12/2025
FacilityType Waiver

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