04D1085870 CLIA NUMBER - ARKANSAS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 04D1085870
  • Facility Name: ARKANSAS DERMATOLOGY
  • Facility Address: 15506 HWY 5 STE A
    CABOT, AR
    ZIP 72023
  • Facility Phone: 501 941-3101
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SCOTT M. DINEHART
  • NPI Number: 1831747062
  • Taxonomy: 207PE0004X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D1085870
LAB Type Physician Office
Facility Name ARKANSAS DERMATOLOGY
Street 15506 HWY 5 STE A
City CABOT
State AR
ZIP 72023
Phone 501 941-3101
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 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director DR. SCOTT M. DINEHART

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