04D2087233 CLIA NUMBER - ARKANSAS OCCUPATIONAL HEALTH CLINIC - VAN BUREN

Laboratory Demographics

  • CLIA Code: 04D2087233
  • Facility Name: ARKANSAS OCCUPATIONAL HEALTH CLINIC - VAN BUREN
  • Facility Address: 2010 CHESTNUT ST STE B
    VAN BUREN, AR
    ZIP 72956
  • Facility Phone: 479 725-3062
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GARY L. MOFFITT
  • NPI Number: 1013250984
  • Taxonomy: 1223X0400X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 04D2087233
LAB Type Physician Office
Facility Name ARKANSAS OCCUPATIONAL HEALTH CLINIC - VAN BUREN
Street 2010 CHESTNUT ST STE B
City VAN BUREN
State AR
ZIP 72956
Phone 479 725-3062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Physician Office
Lab Director DR. GARY L. MOFFITT

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