04D1087008 CLIA NUMBER - JAMES CHAMBLISS MD PLLC PA

Laboratory Demographics

  • CLIA Code: 04D1087008
  • Facility Name: JAMES CHAMBLISS MD PLLC PA
  • Facility Address: 1701 E NORTH STREET
    MAGNOLIA, AR
    ZIP 71753
  • Facility Phone: 870 235-1112
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES W. CHAMBLISS
  • NPI Number: 1285856971
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D1087008
LAB Type Physician Office
Facility Name JAMES CHAMBLISS MD PLLC PA
Street 1701 E NORTH STREET
City MAGNOLIA
State AR
ZIP 71753
Phone 870 235-1112
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 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director JAMES W. CHAMBLISS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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