04D0698672 CLIA NUMBER - MARTHA A FLOWERS MD

Laboratory Demographics

  • CLIA Code: 04D0698672
  • Facility Name: MARTHA A FLOWERS MD
  • Facility Address: 1401 STATE STREET SUITE C
    PINE BLUFF, AR
    ZIP 71601
  • Facility Phone: 870 534-5523
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTHA A. FLOWERS M D
  • NPI Number: 1669430682
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0698672
LAB Type Physician Office
Facility Name MARTHA A FLOWERS MD
Street 1401 STATE STREET SUITE C
City PINE BLUFF
State AR
ZIP 71601
Phone 870 534-5523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director MARTHA A. FLOWERS M D

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