04D0691689 CLIA NUMBER - THOMAS F HUDSON III MD

Laboratory Demographics

  • CLIA Code: 04D0691689
  • Facility Name: THOMAS F HUDSON III MD
  • Facility Address: 9 MEDICAL LANE
    CONWAY, AR
    ZIP 72034
  • Facility Phone: 501 327-8480
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THOMAS F. HUDSON, III, MD
  • NPI Number: 1588643563
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 04D0691689
LAB Type Physician Office
Facility Name THOMAS F HUDSON III MD
Street 9 MEDICAL LANE
City CONWAY
State AR
ZIP 72034
Phone 501 327-8480
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 THOMAS F. HUDSON, III, MD

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