04D1082685 CLIA NUMBER - OZARK MEDICAL CLINIC CLINTON

Laboratory Demographics

  • CLIA Code: 04D1082685
  • Facility Name: OZARK MEDICAL CLINIC CLINTON
  • Facility Address: 175 VOLUNTEER PARKWAY
    CLINTON, AR
    ZIP 72031
  • Facility Phone: 501 745-3388
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KEITH A. COWARD
  • NPI Number: 1366614935
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D1082685
LAB Type Physician Office
Facility Name OZARK MEDICAL CLINIC CLINTON
Street 175 VOLUNTEER PARKWAY
City CLINTON
State AR
ZIP 72031
Phone 501 745-3388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director DR. KEITH A. COWARD

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