04D2031905 CLIA NUMBER - UNITY HEALTH MEDICAL CLINIC HEBER SPRINGS

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Laboratory Demographics

CLIA Number: 04D2031905

Facility Name: UNITY HEALTH MEDICAL CLINIC HEBER SPRINGS

Facility Address:
2725 HWY 25B
HEBER SPRINGS, AR
ZIP 72543
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Facility Phone Number: 501 362-5800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215335435

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	04D2031905
LAB Type	Physician Office
Facility Name	UNITY HEALTH MEDICAL CLINIC HEBER SPRINGS
Street	2725 HWY 25B
City	HEBER SPRINGS
State	AR
ZIP	72543
Phone	501 362-5800
CertificateType	4
CertificateEffectiveDate	10/31/2023
CertificateExpirationDate	10/30/2025
FacilityType	Waiver

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