04D1100378 CLIA NUMBER - BEST START PEDIATRICS

Laboratory Demographics

  • CLIA Code: 04D1100378
  • Facility Name: BEST START PEDIATRICS
  • Facility Address: 3623 JOHNSON MILL BLVD STE 101
    SPRINGDALE, AR
    ZIP 72762
  • Facility Phone: 479 575-9359
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN AVERITT
  • NPI Number: 1689182412
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 04D1100378
LAB Type Physician Office
Facility Name BEST START PEDIATRICS
Street 3623 JOHNSON MILL BLVD STE 101
City SPRINGDALE
State AR
ZIP 72762
Phone 479 575-9359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director SUSAN AVERITT

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