04D2029685 CLIA NUMBER - GREENBRIER FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 04D2029685
  • Facility Name: GREENBRIER FAMILY CLINIC
  • Facility Address: 49 SOUTH BROADVIEW SUITE 1
    GREENBRIER, AR
    ZIP 72058
  • Facility Phone: 501 679-4030
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. GARY W. BOWMAN
  • NPI Number: 1235614421
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2029685
LAB Type Physician Office
Facility Name GREENBRIER FAMILY CLINIC
Street 49 SOUTH BROADVIEW SUITE 1
City GREENBRIER
State AR
ZIP 72058
Phone 501 679-4030
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director DR. GARY W. BOWMAN

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