04D0897814 CLIA NUMBER - FAMILY CARE CLINIC OF RECTOR

Laboratory Demographics

  • CLIA Code: 04D0897814
  • Facility Name: FAMILY CARE CLINIC OF RECTOR
  • Facility Address: 715 EAST 9TH STREET
    RECTOR, AR
    ZIP 72461
  • Facility Phone: 870 595-3596
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: DAVID BLACKBURN
  • NPI Number: 1679564413
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0897814
LAB Type Rural Health Clinic
Facility Name FAMILY CARE CLINIC OF RECTOR
Street 715 EAST 9TH STREET
City RECTOR
State AR
ZIP 72461
Phone 870 595-3596
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 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Rural Health Clinic
Lab Director DAVID BLACKBURN

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