04D2029162 CLIA NUMBER - WELCOME HEALTH

Laboratory Demographics

  • CLIA Code: 04D2029162
  • Facility Name: WELCOME HEALTH
  • Facility Address: 1100 N WOOLSEY AVENUE
    FAYETTEVILLE, AR
    ZIP 72703
  • Facility Phone: 479 444-7548
  • Facility Type: Other - FREE HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: DR. MONIKA FISCHER MASSIE
  • NPI Number: 1366872731
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 04D2029162
LAB Type Other - FREE HEALTH CENTER
Facility Name WELCOME HEALTH
Street 1100 N WOOLSEY AVENUE
City FAYETTEVILLE
State AR
ZIP 72703
Phone 479 444-7548
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Other - FREE HEALTH CENTER
Lab Director DR. MONIKA FISCHER MASSIE

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