04D2099309 CLIA NUMBER - HOWARD MEMORIAL CLINICS - CALDWELL

Laboratory Demographics

  • CLIA Code: 04D2099309
  • Facility Name: HOWARD MEMORIAL CLINICS - CALDWELL
  • Facility Address: 110 MEDICAL CIRCLE
    NASHVILLE, AR
    ZIP 71852
  • Facility Phone: 870 845-6060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES B. CALDWELL
  • NPI Number: 1346698248
  • Taxonomy: 261QC0050X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2099309
LAB Type Physician Office
Facility Name HOWARD MEMORIAL CLINICS - CALDWELL
Street 110 MEDICAL CIRCLE
City NASHVILLE
State AR
ZIP 71852
Phone 870 845-6060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Physician Office
Lab Director DR. CHARLES B. CALDWELL

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