04D0858679 CLIA NUMBER - REDFIELD CLINIC

Laboratory Demographics

  • CLIA Code: 04D0858679
  • Facility Name: REDFIELD CLINIC
  • Facility Address: 823 RIVER ROAD
    REDFIELD, AR
    ZIP 72132
  • Facility Phone: 501 397-2261
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. MARCUS CROUTHER
  • NPI Number: 1124224928
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0858679
LAB Type Community Clinic
Facility Name REDFIELD CLINIC
Street 823 RIVER ROAD
City REDFIELD
State AR
ZIP 72132
Phone 501 397-2261
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 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Community Clinic
Lab Director DR. MARCUS CROUTHER

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