04D2049676 CLIA NUMBER - HELLO WELLNESS, PLC

Laboratory Demographics

  • CLIA Code: 04D2049676
  • Facility Name: HELLO WELLNESS, PLC
  • Facility Address: 1742 E JOYCE BLVD
    FAYETTEVILLE, AR
    ZIP 72703
  • Facility Phone: 479 249-6365
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRIAN K. BRACY
  • NPI Number: 1255600219
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2049676
LAB Type Physician Office
Facility Name HELLO WELLNESS, PLC
Street 1742 E JOYCE BLVD
City FAYETTEVILLE
State AR
ZIP 72703
Phone 479 249-6365
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director BRIAN K. BRACY

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