04D1038322 CLIA NUMBER - HENDRIX MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 04D1038322
  • Facility Name: HENDRIX MEDICAL CLINIC
  • Facility Address: 2709 WEST KINGSHIGHWAY, SUITE 6
    PARAGOULD, AR
    ZIP 72450
  • Facility Phone: 870 236-7272
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BARRY HENDRIX
  • NPI Number: 1023157682
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D1038322
LAB Type Physician Office
Facility Name HENDRIX MEDICAL CLINIC
Street 2709 WEST KINGSHIGHWAY, SUITE 6
City PARAGOULD
State AR
ZIP 72450
Phone 870 236-7272
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 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Physician Office
Lab Director BARRY HENDRIX

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