04D0905060 CLIA NUMBER - DUGGAR FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 04D0905060
  • Facility Name: DUGGAR FAMILY PRACTICE
  • Facility Address: 107 NORTH NINTH STREET
    OZARK, AR
    ZIP 72949
  • Facility Phone: 479 667-2923
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA L. DUGGAR
  • NPI Number: 1447843404
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 04D0905060
LAB Type Physician Office
Facility Name DUGGAR FAMILY PRACTICE
Street 107 NORTH NINTH STREET
City OZARK
State AR
ZIP 72949
Phone 479 667-2923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director JESSICA L. DUGGAR

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