04D0960636 CLIA NUMBER - CORNERSTONE MEDICAL GROUP PLLC

Laboratory Demographics

  • CLIA Code: 04D0960636
  • Facility Name: CORNERSTONE MEDICAL GROUP PLLC
  • Facility Address: 825 HWY 71 NORTH
    ALMA, AR
    ZIP 72921
  • Facility Phone: 479 632-6688
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAVED A. RANA
  • NPI Number: 1811100910
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0960636
LAB Type Physician Office
Facility Name CORNERSTONE MEDICAL GROUP PLLC
Street 825 HWY 71 NORTH
City ALMA
State AR
ZIP 72921
Phone 479 632-6688
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director JAVED A. RANA

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