04D0697873 CLIA NUMBER - GREENBRIER FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 04D0697873
  • Facility Name: GREENBRIER FAMILY MEDICINE
  • Facility Address: 110 NORTH BROADVIEW
    GREENBRIER, AR
    ZIP 72058
  • Facility Phone: 501 679-3551
  • Facility Type: Rural Health Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: DEBRA THRASHER
  • NPI Number: 1548362437
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0697873
LAB Type Rural Health Clinic
Facility Name GREENBRIER FAMILY MEDICINE
Street 110 NORTH BROADVIEW
City GREENBRIER
State AR
ZIP 72058
Phone 501 679-3551
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 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Rural Health Clinic
Lab Director DEBRA THRASHER

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This page was last updated on: 3/20/2025