04D1011790 CLIA NUMBER - CHRIS TAYLOR MD

Laboratory Demographics

  • CLIA Code: 04D1011790
  • Facility Name: CHRIS TAYLOR MD
  • Facility Address: 1425 ROCK SPRINGS ROAD
    HARRISON, AR
    ZIP 72601
  • Facility Phone: 870 741-1616
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CHRIS TAYLOR
  • NPI Number: 1366625634
  • Taxonomy: 364SP0200X - Clinical Nurse Specialist

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CLIA Record

Field Name Field Value
CLIA Number 04D1011790
LAB Type Physician Office
Facility Name CHRIS TAYLOR MD
Street 1425 ROCK SPRINGS ROAD
City HARRISON
State AR
ZIP 72601
Phone 870 741-1616
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 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director DR. CHRIS TAYLOR

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