04D1017531 CLIA NUMBER - BEN T WILKINS MD INC

Laboratory Demographics

  • CLIA Code: 04D1017531
  • Facility Name: BEN T WILKINS MD INC
  • Facility Address: 400 S MAIN ST STE 200
    SEARCY, AR
    ZIP 72143
  • Facility Phone: 501 279-0502
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BEN T. WILKINS
  • NPI Number: 1639208382
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 04D1017531
LAB Type Physician Office
Facility Name BEN T WILKINS MD INC
Street 400 S MAIN ST STE 200
City SEARCY
State AR
ZIP 72143
Phone 501 279-0502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director BEN T. WILKINS

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