04D2042676 CLIA NUMBER - BAXTER HEALTH FAMILY CLINIC AT MELBOURNE

Laboratory Demographics

  • CLIA Code: 04D2042676
  • Facility Name: BAXTER HEALTH FAMILY CLINIC AT MELBOURNE
  • Facility Address: 1019 E MAIN
    MELBOURNE, AR
    ZIP 72556
  • Facility Phone: 870 916-2150
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER WEBB
  • NPI Number: 1154849065
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2042676
LAB Type Community Clinic
Facility Name BAXTER HEALTH FAMILY CLINIC AT MELBOURNE
Street 1019 E MAIN
City MELBOURNE
State AR
ZIP 72556
Phone 870 916-2150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Community Clinic
Lab Director CHRISTOPHER WEBB

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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