04D0681086 CLIA NUMBER - ST BERNARDS PHYSICIAN CLINICS, INC

Laboratory Demographics

  • CLIA Code: 04D0681086
  • Facility Name: ST BERNARDS PHYSICIAN CLINICS, INC
  • Facility Address: 415 EAST MATTHEWS AVENUE
    JONESBORO, AR
    ZIP 72401
  • Facility Phone: 870 972-8181
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HOUN YEE HOUN
  • NPI Number: 1982667895
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0681086
LAB Type Physician Office
Facility Name ST BERNARDS PHYSICIAN CLINICS, INC
Street 415 EAST MATTHEWS AVENUE
City JONESBORO
State AR
ZIP 72401
Phone 870 972-8181
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 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Physician Office
Lab Director HOUN YEE HOUN

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