04D1080664 CLIA NUMBER - INTEGRITY HEALTH CENTERS

Laboratory Demographics

  • CLIA Code: 04D1080664
  • Facility Name: INTEGRITY HEALTH CENTERS
  • Facility Address: 910 HWY 62-65 N
    HARRISON, AR
    ZIP 72601
  • Facility Phone: 870 704-4072
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: NATHAN D. MULANOX
  • NPI Number: 1659700490
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 04D1080664
LAB Type Practitioner Other
Facility Name INTEGRITY HEALTH CENTERS
Street 910 HWY 62-65 N
City HARRISON
State AR
ZIP 72601
Phone 870 704-4072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Practitioner Other
Lab Director NATHAN D. MULANOX

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