04D1013224 CLIA NUMBER - RANDY D WALKER MD PLLC

Laboratory Demographics

  • CLIA Code: 04D1013224
  • Facility Name: RANDY D WALKER MD PLLC
  • Facility Address: 1553 WEST COLLIN RAYE DRIVE
    DE QUEEN, AR
    ZIP 71832
  • Facility Phone: 870 584-3000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RANDY D. WALKER
  • NPI Number: 1730185752
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D1013224
LAB Type Physician Office
Facility Name RANDY D WALKER MD PLLC
Street 1553 WEST COLLIN RAYE DRIVE
City DE QUEEN
State AR
ZIP 71832
Phone 870 584-3000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director DR. RANDY D. WALKER

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