04D0988096 CLIA NUMBER - UNITY HEALTH-NORTH CABOT FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 04D0988096
  • Facility Name: UNITY HEALTH-NORTH CABOT FAMILY MEDICINE
  • Facility Address: 1911 NORTH 2ND STREET
    CABOT, AR
    ZIP 72023
  • Facility Phone: 501 843-5757
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY BARDEN
  • NPI Number: 1043700404
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0988096
LAB Type Physician Office
Facility Name UNITY HEALTH-NORTH CABOT FAMILY MEDICINE
Street 1911 NORTH 2ND STREET
City CABOT
State AR
ZIP 72023
Phone 501 843-5757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director KELLY BARDEN

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