04D2079756 CLIA NUMBER - BAPTIST HEALTH FAMILY CLINIC - CADDO VALLEY

Laboratory Demographics

  • CLIA Code: 04D2079756
  • Facility Name: BAPTIST HEALTH FAMILY CLINIC - CADDO VALLEY
  • Facility Address: 10 MONTGOMERY DR
    ARKADELPHIA, AR
    ZIP 71923
  • Facility Phone: 870 245-2198
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. NOLAND H. HAGOOD
  • NPI Number: 1104235332
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2079756
LAB Type Rural Health Clinic
Facility Name BAPTIST HEALTH FAMILY CLINIC - CADDO VALLEY
Street 10 MONTGOMERY DR
City ARKADELPHIA
State AR
ZIP 71923
Phone 870 245-2198
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Rural Health Clinic
Lab Director DR. NOLAND H. HAGOOD

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