04D0924524 CLIA NUMBER - HAMBURG HEALTH CLINIC

Laboratory Demographics

CLIA Number: 04D0924524

Facility Name: HAMBURG HEALTH CLINIC

Facility Address:
319 WEST PARKER STREET
HAMBURG, AR
ZIP 71646
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Facility Phone Number: 870 853-8271

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1093084808

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	04D0924524
LAB Type	Physician Office
Facility Name	HAMBURG HEALTH CLINIC
Street	319 WEST PARKER STREET
City	HAMBURG
State	AR
ZIP	71646
Phone	870 853-8271
CertificateType	4
CertificateEffectiveDate	8/5/2022
CertificateExpirationDate	8/4/2024
FacilityType	Waiver

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