04D0690634 CLIA NUMBER - BAXTER HEALTH HARRISON FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 04D0690634
  • Facility Name: BAXTER HEALTH HARRISON FAMILY PRACTICE
  • Facility Address: 715 WEST SHERMAN SUITE G
    HARRISON, AR
    ZIP 72601
  • Facility Phone: 870 741-8247
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER WEBB
  • NPI Number: 1467817148
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 04D0690634
LAB Type Physician Office
Facility Name BAXTER HEALTH HARRISON FAMILY PRACTICE
Street 715 WEST SHERMAN SUITE G
City HARRISON
State AR
ZIP 72601
Phone 870 741-8247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director DR. CHRISTOPHER WEBB

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