04D2024160 CLIA NUMBER - BAPTIST HEALTH FAMILY CLINIC GURDON

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Laboratory Demographics

CLIA Number: 04D2024160

Facility Name: BAPTIST HEALTH FAMILY CLINIC GURDON

Facility Address:
200 EAST WALNUT
GURDON, AR
ZIP 71743
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Facility Phone Number: 870 353-2800

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1841598919

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	04D2024160
LAB Type	Rural Health Clinic
Facility Name	BAPTIST HEALTH FAMILY CLINIC GURDON
Street	200 EAST WALNUT
City	GURDON
State	AR
ZIP	71743
Phone	870 353-2800
CertificateType	4
CertificateEffectiveDate	5/11/2023
CertificateExpirationDate	5/10/2025
FacilityType	Waiver

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