04D2075422 CLIA NUMBER - BACK IN MOTION CHIROPRACTIC, PLLC

Laboratory Demographics

  • CLIA Code: 04D2075422
  • Facility Name: BACK IN MOTION CHIROPRACTIC, PLLC
  • Facility Address: 2109 OLD COUNTY ROAD
    POCAHONTAS, AR
    ZIP 72455
  • Facility Phone: 870 759-0480
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEREK P. SMITH
  • NPI Number: 1720350564
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 04D2075422
LAB Type Practitioner Other
Facility Name BACK IN MOTION CHIROPRACTIC, PLLC
Street 2109 OLD COUNTY ROAD
City POCAHONTAS
State AR
ZIP 72455
Phone 870 759-0480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Practitioner Other
Lab Director DEREK P. SMITH

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