04D2024160 CLIA NUMBER - BAPTIST HEALTH FAMILY CLINIC GURDON

Laboratory Demographics

  • CLIA Code: 04D2024160
  • Facility Name: BAPTIST HEALTH FAMILY CLINIC GURDON
  • Facility Address: 200 EAST WALNUT
    GURDON, AR
    ZIP 71743
  • Facility Phone: 870 353-2800
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. NOLAND HAGOOD
  • NPI Number: 1841598919
  • Taxonomy: 261QR1300X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Rural Health Clinic
Lab Director DR. NOLAND HAGOOD

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