04D2079106 CLIA NUMBER - WASHINGTON REGIONAL ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 04D2079106
  • Facility Name: WASHINGTON REGIONAL ENDOCRINOLOGY
  • Facility Address: 3 E APPLEBY ROAD STE 202
    FAYETTEVILLE, AR
    ZIP 72703
  • Facility Phone: 479 463-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CATHERINE R. KILPATRICK
  • NPI Number: 1235777558
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 04D2079106
LAB Type Physician Office
Facility Name WASHINGTON REGIONAL ENDOCRINOLOGY
Street 3 E APPLEBY ROAD STE 202
City FAYETTEVILLE
State AR
ZIP 72703
Phone 479 463-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Physician Office
Lab Director CATHERINE R. KILPATRICK

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