04D2008889 CLIA NUMBER - ARKANSAS DERMATOLOGY

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Laboratory Demographics

CLIA Number: 04D2008889

Facility Name: ARKANSAS DERMATOLOGY

Facility Address:
1708 NORTH BUERKLE RD
STUTTGART, AR
ZIP 72160
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Facility Phone Number: 501 791-7546

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1255310066

Taxonomy: 207LP2900X - Anesthesiology
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	04D2008889
LAB Type	Physician Office
Facility Name	ARKANSAS DERMATOLOGY
Street	1708 NORTH BUERKLE RD
City	STUTTGART
State	AR
ZIP	72160
Phone	501 791-7546
CertificateType	2
CertificateEffectiveDate	6/1/2023
CertificateExpirationDate	5/31/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024