04D0881080 CLIA NUMBER - MERCY FAMILY MEDICINE MANSFIELD

Laboratory Demographics

  • CLIA Code: 04D0881080
  • Facility Name: MERCY FAMILY MEDICINE MANSFIELD
  • Facility Address: 100 NORTH WALNUT, SUITE A
    MANSFIELD, AR
    ZIP 72944
  • Facility Phone: 479 928-4404
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELIZABETH HUTSON
  • NPI Number: 1295774917
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0881080
LAB Type Physician Office
Facility Name MERCY FAMILY MEDICINE MANSFIELD
Street 100 NORTH WALNUT, SUITE A
City MANSFIELD
State AR
ZIP 72944
Phone 479 928-4404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director DR. ELIZABETH HUTSON

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