04D2093578 CLIA NUMBER - ACCESS MEDICAL CLINIC BRADLEY BIBB MD PLLC

Laboratory Demographics

  • CLIA Code: 04D2093578
  • Facility Name: ACCESS MEDICAL CLINIC BRADLEY BIBB MD PLLC
  • Facility Address: 10144 US HWY 63 SUITE A
    BONO, AR
    ZIP 72416
  • Facility Phone: 870 520-6069
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK HAHN
  • NPI Number: 1639562432
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2093578
LAB Type Physician Office
Facility Name ACCESS MEDICAL CLINIC BRADLEY BIBB MD PLLC
Street 10144 US HWY 63 SUITE A
City BONO
State AR
ZIP 72416
Phone 870 520-6069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director DR. MARK HAHN

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