04D0891055 CLIA NUMBER - DIGESTIVE CARE, PA

Laboratory Demographics

  • CLIA Code: 04D0891055
  • Facility Name: DIGESTIVE CARE, PA
  • Facility Address: 4800 HAZEL STREET
    PINE BLUFF, AR
    ZIP 71603
  • Facility Phone: 870 534-5533
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CHUN YANG FAN
  • NPI Number: 1124299599
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0891055
LAB Type Physician Office
Facility Name DIGESTIVE CARE, PA
Street 4800 HAZEL STREET
City PINE BLUFF
State AR
ZIP 71603
Phone 870 534-5533
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Physician Office
Lab Director DR. CHUN YANG FAN

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