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04D2044460 CLIA NUMBER - WASHINGTON REGIONAL FAMILY CLINIC-EAST SPRINGDALE

Laboratory Demographics

CLIA Number: 04D2044460

Facility Name: WASHINGTON REGIONAL FAMILY CLINIC-EAST SPRINGDALE

Facility Address:
1607 SOUTH OLD MISSOURI RD
SPRINGDALE, AR
ZIP 72764
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Facility Phone Number: 479 463-4887

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1538423587

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 04D2044460
LAB Type Physician Office
Facility Name WASHINGTON REGIONAL FAMILY CLINIC-EAST SPRINGDALE
Street 1607 SOUTH OLD MISSOURI RD
City SPRINGDALE
State AR
ZIP 72764
Phone 479 463-4887
CertificateType 3
CertificateEffectiveDate 7/25/2022
CertificateExpirationDate 7/24/2024
FacilityType PPMP

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