04D2100702 CLIA NUMBER - HEALTHY CONNECTIONS - HOT SPRINGS CLINIC

Laboratory Demographics

  • CLIA Code: 04D2100702
  • Facility Name: HEALTHY CONNECTIONS - HOT SPRINGS CLINIC
  • Facility Address: 1723 MALVERN AVENUE
    HOT SPRINGS, AR
    ZIP 71901
  • Facility Phone: 479 437-3449
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MS. SHAWNA DEREEMER
  • NPI Number: 1801303144
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 04D2100702
LAB Type Federally Qualified Health Center
Facility Name HEALTHY CONNECTIONS - HOT SPRINGS CLINIC
Street 1723 MALVERN AVENUE
City HOT SPRINGS
State AR
ZIP 71901
Phone 479 437-3449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Federally Qualified Health Center
Lab Director MS. SHAWNA DEREEMER

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