04D2038797 CLIA NUMBER - DOCTORS HEALTH GROUP INC

Laboratory Demographics

  • CLIA Code: 04D2038797
  • Facility Name: DOCTORS HEALTH GROUP INC
  • Facility Address: ONE NICE PAK ROAD
    JONESBORO, AR
    ZIP 72404
  • Facility Phone: 870 932-7024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARANDA E. NICHOLS
  • NPI Number: 1225221211
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2038797
LAB Type Physician Office
Facility Name DOCTORS HEALTH GROUP INC
Street ONE NICE PAK ROAD
City JONESBORO
State AR
ZIP 72404
Phone 870 932-7024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director MARANDA E. NICHOLS

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