04D0884442 CLIA NUMBER - TIM T WILKIN DO PA

Laboratory Demographics

  • CLIA Code: 04D0884442
  • Facility Name: TIM T WILKIN DO PA
  • Facility Address: 8608 DOLLARWAY ROAD, SUITE C
    WHITE HALL, AR
    ZIP 71602
  • Facility Phone: 870 247-8900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. TIMOTHEE T. WILKIN
  • NPI Number: 1780981498
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0884442
LAB Type Physician Office
Facility Name TIM T WILKIN DO PA
Street 8608 DOLLARWAY ROAD, SUITE C
City WHITE HALL
State AR
ZIP 71602
Phone 870 247-8900
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 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Physician Office
Lab Director DR. TIMOTHEE T. WILKIN

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