04D2131801 CLIA NUMBER - SOUTHEAST ARKANSAS FIVE MEDICAL GROUP, PLLC

Laboratory Demographics

  • CLIA Code: 04D2131801
  • Facility Name: SOUTHEAST ARKANSAS FIVE MEDICAL GROUP, PLLC
  • Facility Address: 147 SECTION LINE ROAD SUITE G SUITE G
    HOT SPRINGS, AR
    ZIP 71913
  • Facility Phone: 469 361-3238
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. CLAYTON NASH
  • NPI Number: 1962038174
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2131801
LAB Type Physician Office
Facility Name SOUTHEAST ARKANSAS FIVE MEDICAL GROUP, PLLC
Street 147 SECTION LINE ROAD SUITE G SUITE G
City HOT SPRINGS
State AR
ZIP 71913
Phone 469 361-3238
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director DR. CLAYTON NASH

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