04D1030712 CLIA NUMBER - ROBERT E WALTON DO PA

Laboratory Demographics

  • CLIA Code: 04D1030712
  • Facility Name: ROBERT E WALTON DO PA
  • Facility Address: 20798 ARCH STREET
    HENSLEY, AR
    ZIP 72065
  • Facility Phone: 501 888-8200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT E. WALTON DO
  • NPI Number: 1588613327
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D1030712
LAB Type Physician Office
Facility Name ROBERT E WALTON DO PA
Street 20798 ARCH STREET
City HENSLEY
State AR
ZIP 72065
Phone 501 888-8200
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 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director ROBERT E. WALTON DO

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