04D0697597 CLIA NUMBER - ST BERNARDS PHYSICIAN CLINICS, INC

Laboratory Demographics

  • CLIA Code: 04D0697597
  • Facility Name: ST BERNARDS PHYSICIAN CLINICS, INC
  • Facility Address: 21110 HWY 18 EAST
    MONETTE, AR
    ZIP 72447
  • Facility Phone: 870 486-5464
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BRIAN BALTZ
  • NPI Number: 1144629445
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0697597
LAB Type Physician Office
Facility Name ST BERNARDS PHYSICIAN CLINICS, INC
Street 21110 HWY 18 EAST
City MONETTE
State AR
ZIP 72447
Phone 870 486-5464
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 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Physician Office
Lab Director DR. BRIAN BALTZ

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