04D2069010 CLIA NUMBER - DOCTOR'S HEALTH GROUP, INC DBA PARAGOULD DOCTOR'S CLINIC

Laboratory Demographics

  • CLIA Code: 04D2069010
  • Facility Name: DOCTOR'S HEALTH GROUP, INC DBA PARAGOULD DOCTOR'S CLINIC
  • Facility Address: 4000 LINWOOD DRIVE, SUITE A
    PARAGOULD, AR
    ZIP 72450
  • Facility Phone: 870 239-8503
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. CULBER M. SHOTTS
  • NPI Number: 1700849692
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2069010
LAB Type Rural Health Clinic
Facility Name DOCTOR'S HEALTH GROUP, INC DBA PARAGOULD DOCTOR'S CLINIC
Street 4000 LINWOOD DRIVE, SUITE A
City PARAGOULD
State AR
ZIP 72450
Phone 870 239-8503
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 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Rural Health Clinic
Lab Director DR. CULBER M. SHOTTS

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This page was last updated on: 6/4/2025