04D2115733 CLIA NUMBER - PARAGOULD FAMILY CARE, PA

Laboratory Demographics

  • CLIA Code: 04D2115733
  • Facility Name: PARAGOULD FAMILY CARE, PA
  • Facility Address: 5 MARKET PLACE
    PARAGOULD, AR
    ZIP 72450
  • Facility Phone: 870 236-4001
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LEN KEMP
  • NPI Number: 1881887255
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 04D2115733
LAB Type Physician Office
Facility Name PARAGOULD FAMILY CARE, PA
Street 5 MARKET PLACE
City PARAGOULD
State AR
ZIP 72450
Phone 870 236-4001
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director DR. LEN KEMP

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