04D2073013 CLIA NUMBER - MEDIC ONE LLC

Laboratory Demographics

  • CLIA Code: 04D2073013
  • Facility Name: MEDIC ONE LLC
  • Facility Address: 3301 S CARAWAY RD
    JONESBORO, AR
    ZIP 72404
  • Facility Phone: 870 972-0708
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TIM BRICKELL
  • NPI Number: 1114006939
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 04D2073013
LAB Type Ambulance
Facility Name MEDIC ONE LLC
Street 3301 S CARAWAY RD
City JONESBORO
State AR
ZIP 72404
Phone 870 972-0708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Ambulance
Lab Director TIM BRICKELL

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