04D0701088 CLIA NUMBER - MERCY CLINIC OB/GYN EASTSIDE ROGERS AVE

Laboratory Demographics

  • CLIA Code: 04D0701088
  • Facility Name: MERCY CLINIC OB/GYN EASTSIDE ROGERS AVE
  • Facility Address: 7001 ROGERS AVE SUITE 502
    FORT SMITH, AR
    ZIP 72903
  • Facility Phone: 479 484-5901
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY BELL
  • NPI Number: 1396786042
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 04D0701088
LAB Type Physician Office
Facility Name MERCY CLINIC OB/GYN EASTSIDE ROGERS AVE
Street 7001 ROGERS AVE SUITE 502
City FORT SMITH
State AR
ZIP 72903
Phone 479 484-5901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director TIMOTHY BELL

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