04D0958089 CLIA NUMBER - RANDY D ROBERTS, MD

Laboratory Demographics

  • CLIA Code: 04D0958089
  • Facility Name: RANDY D ROBERTS, MD
  • Facility Address: 1000 EAST MATTHEWS
    JONESBORO, AR
    ZIP 72401
  • Facility Phone: 870 268-8880
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RANDY D. ROBERTS
  • NPI Number: 1447228663
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0958089
LAB Type Physician Office
Facility Name RANDY D ROBERTS, MD
Street 1000 EAST MATTHEWS
City JONESBORO
State AR
ZIP 72401
Phone 870 268-8880
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 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Physician Office
Lab Director RANDY D. ROBERTS

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This page was last updated on: 3/20/2025