04D2118893 CLIA NUMBER - JAMES TRICE, MD, PA

Laboratory Demographics

  • CLIA Code: 04D2118893
  • Facility Name: JAMES TRICE, MD, PA
  • Facility Address: 7005 S HAZEL ST
    PINE BLUFF, AR
    ZIP 71603
  • Facility Phone: 870 536-3070
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CHUNYANG FAN
  • NPI Number: 1174531255
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2118893
LAB Type Independent
Facility Name JAMES TRICE, MD, PA
Street 7005 S HAZEL ST
City PINE BLUFF
State AR
ZIP 71603
Phone 870 536-3070
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Independent
Lab Director DR. CHUNYANG FAN

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This page was last updated on: 3/20/2025