04D2093343 CLIA NUMBER - OZARK WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 04D2093343
  • Facility Name: OZARK WELLNESS CLINIC
  • Facility Address: 102 WEST COLLEGE
    OZARK, AR
    ZIP 72949
  • Facility Phone: 479 667-2222
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: YVONIA J. FINLEY
  • NPI Number: 1720482482
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 04D2093343
LAB Type Practitioner Other
Facility Name OZARK WELLNESS CLINIC
Street 102 WEST COLLEGE
City OZARK
State AR
ZIP 72949
Phone 479 667-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Practitioner Other
Lab Director YVONIA J. FINLEY

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