04D0663256 CLIA NUMBER - GIL E JOHNSON MD

Laboratory Demographics

  • CLIA Code: 04D0663256
  • Facility Name: GIL E JOHNSON MD
  • Facility Address: 2511 A COLLEGE AVE
    CONWAY, AR
    ZIP 72032
  • Facility Phone: 501 327-6041
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GIL E. JOHNSON
  • NPI Number: 1356563241
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0663256
LAB Type Physician Office
Facility Name GIL E JOHNSON MD
Street 2511 A COLLEGE AVE
City CONWAY
State AR
ZIP 72032
Phone 501 327-6041
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director GIL E. JOHNSON

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