04D0913308 CLIA NUMBER - NORTHWEST FAMILY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 04D0913308

Facility Name: NORTHWEST FAMILY MEDICAL CENTER

Facility Address:
601 WEST MAPLE AVE, STE 102
SPRINGDALE, AR
ZIP 72764
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Facility Phone Number: 479 750-6585

Facility Type: Other

Certificate Type: Microscopy

NPI Number: 1487624490

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	04D0913308
LAB Type	Other
Facility Name	NORTHWEST FAMILY MEDICAL CENTER
Street	601 WEST MAPLE AVE, STE 102
City	SPRINGDALE
State	AR
ZIP	72764
Phone	479 750-6585
CertificateType	3
CertificateEffectiveDate	3/27/2024
CertificateExpirationDate	3/26/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024