04D1036609 CLIA NUMBER - WEBBER MEDICAL COMPLEX

Laboratory Demographics

  • CLIA Code: 04D1036609
  • Facility Name: WEBBER MEDICAL COMPLEX
  • Facility Address: 328 KITTLE ROAD
    FORREST CITY, AR
    ZIP 72335
  • Facility Phone: 870 633-0220
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID L. WEBBER
  • NPI Number: 1043202476
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D1036609
LAB Type Physician Office
Facility Name WEBBER MEDICAL COMPLEX
Street 328 KITTLE ROAD
City FORREST CITY
State AR
ZIP 72335
Phone 870 633-0220
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 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director DAVID L. WEBBER

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