04D0981310 CLIA NUMBER - SILOAM SPRINGS WOMENS CENTER

Laboratory Demographics

CLIA Number: 04D0981310

Facility Name: SILOAM SPRINGS WOMENS CENTER

Facility Address:
603-2 NORTH PROGRESS AVENUE SUITE 100
SILOAM SPRINGS, AR
ZIP 72761
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Facility Phone Number: 479 524-9312

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1063819969

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	04D0981310
LAB Type	Physician Office
Facility Name	SILOAM SPRINGS WOMENS CENTER
Street	603-2 NORTH PROGRESS AVENUE SUITE 100
City	SILOAM SPRINGS
State	AR
ZIP	72761
Phone	479 524-9312
CertificateType	3
CertificateEffectiveDate	12/22/2022
CertificateExpirationDate	12/21/2024
FacilityType	PPMP

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