04D2137818 CLIA NUMBER - ACCESS MEDICAL CLINIC ARKANSAS LLC

Laboratory Demographics

CLIA Number: 04D2137818

Facility Name: ACCESS MEDICAL CLINIC ARKANSAS LLC

Facility Address:
1713 W MAIN ST
HEBER SPRINGS, AR
ZIP 72543
Get Directions

Facility Phone Number: 870 219-7706

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1407375595

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	04D2137818
LAB Type	Rural Health Clinic
Facility Name	ACCESS MEDICAL CLINIC ARKANSAS LLC
Street	1713 W MAIN ST
City	HEBER SPRINGS
State	AR
ZIP	72543
Phone	870 219-7706
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024