04D2137585 CLIA NUMBER - BAXTER HEALTH FAMILY CLINIC AT CALICO ROCK

Laboratory Demographics

  • CLIA Code: 04D2137585
  • Facility Name: BAXTER HEALTH FAMILY CLINIC AT CALICO ROCK
  • Facility Address: 2161 AR 56
    CALICO ROCK, AR
    ZIP 72519
  • Facility Phone: 870 916-2000
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER WEBB
  • NPI Number: 1922526888
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2137585
LAB Type Community Clinic
Facility Name BAXTER HEALTH FAMILY CLINIC AT CALICO ROCK
Street 2161 AR 56
City CALICO ROCK
State AR
ZIP 72519
Phone 870 916-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Community Clinic
Lab Director DR. CHRISTOPHER WEBB

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