04D1011790 CLIA NUMBER - CHRIS TAYLOR MD

Laboratory Demographics

CLIA Number: 04D1011790

Facility Name: CHRIS TAYLOR MD

Facility Address:
1425 ROCK SPRINGS ROAD
HARRISON, AR
ZIP 72601
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Facility Phone Number: 870 741-1616

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1366625634

Taxonomy: 364SP0200X - Clinical Nurse Specialist

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
CertificateType	3
CertificateEffectiveDate	4/23/2023
CertificateExpirationDate	4/22/2025
FacilityType	PPMP

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