04D2138247 CLIA NUMBER - NEA NUCOR FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 04D2138247
  • Facility Name: NEA NUCOR FAMILY PRACTICE
  • Facility Address: 5027-A NORTH COUNTY ROAD 1015
    BLYTHEVILLE, AR
    ZIP 72315
  • Facility Phone: 870 824-6538
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JERRI N. MCARTHUR
  • NPI Number: 1629595566
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2138247
LAB Type Physician Office
Facility Name NEA NUCOR FAMILY PRACTICE
Street 5027-A NORTH COUNTY ROAD 1015
City BLYTHEVILLE
State AR
ZIP 72315
Phone 870 824-6538
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type Physician Office
Lab Director DR. JERRI N. MCARTHUR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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