04D2087153 CLIA NUMBER - ACCESS MEDICAL CLINIC BRADLEY BIBB MD PLLC

Laboratory Demographics

  • CLIA Code: 04D2087153
  • Facility Name: ACCESS MEDICAL CLINIC BRADLEY BIBB MD PLLC
  • Facility Address: 202 NEWSOM DRIVE
    MARKED TREE, AR
    ZIP 72365
  • Facility Phone: 870 358-4355
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. MARK HAHN
  • NPI Number: 1831595057
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2087153
LAB Type Rural Health Clinic
Facility Name ACCESS MEDICAL CLINIC BRADLEY BIBB MD PLLC
Street 202 NEWSOM DRIVE
City MARKED TREE
State AR
ZIP 72365
Phone 870 358-4355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Rural Health Clinic
Lab Director DR. MARK HAHN

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