04D2043529 CLIA NUMBER - QUEST DIAGNOSTICS HER HEALTH

Laboratory Demographics

  • CLIA Code: 04D2043529
  • Facility Name: QUEST DIAGNOSTICS HER HEALTH
  • Facility Address: 3215 N NORTH HILLS BLVD STE B
    FAYETTEVILLE, AR
    ZIP 72703
  • Facility Phone: 479 463-5536
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: GINA INTHISONE
  • NPI Number: 1669800165
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2043529
LAB Type Independent
Facility Name QUEST DIAGNOSTICS HER HEALTH
Street 3215 N NORTH HILLS BLVD STE B
City FAYETTEVILLE
State AR
ZIP 72703
Phone 479 463-5536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Independent
Lab Director GINA INTHISONE

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