04D2086145 CLIA NUMBER - HEALTHCARE EXPRESS - MAUMELLE

Laboratory Demographics

  • CLIA Code: 04D2086145
  • Facility Name: HEALTHCARE EXPRESS - MAUMELLE
  • Facility Address: 11819 MAUMELLE BLVD
    MAUMELLE, AR
    ZIP 72113
  • Facility Phone: 903 791-9355
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. IMRAN WAHEED
  • NPI Number: 1932516887
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2086145
LAB Type Other - URGENT CARE
Facility Name HEALTHCARE EXPRESS - MAUMELLE
Street 11819 MAUMELLE BLVD
City MAUMELLE
State AR
ZIP 72113
Phone 903 791-9355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Other - URGENT CARE
Lab Director DR. IMRAN WAHEED

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