04D0915056 CLIA NUMBER - HIGHLANDS ONCOLOGY GROUP LAB I

Laboratory Demographics

  • CLIA Code: 04D0915056
  • Facility Name: HIGHLANDS ONCOLOGY GROUP LAB I
  • Facility Address: 3232 NORTH NORTH HILLS BLVD
    FAYETTEVILLE, AR
    ZIP 72703
  • Facility Phone: 479 695-4104
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. PATRICK TRAVIS
  • NPI Number: 1598393605
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D0915056
LAB Type Physician Office
Facility Name HIGHLANDS ONCOLOGY GROUP LAB I
Street 3232 NORTH NORTH HILLS BLVD
City FAYETTEVILLE
State AR
ZIP 72703
Phone 479 695-4104
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 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director DR. PATRICK TRAVIS

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