04D2138864 CLIA NUMBER - CENTRAL ARK CARDIOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 04D2138864
  • Facility Name: CENTRAL ARK CARDIOLOGY ASSOCIATES
  • Facility Address: 3 MEDICAL PARK DR, SUITE 301
    BENTON, AR
    ZIP 72015
  • Facility Phone: 501 776-6252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY STEWART
  • NPI Number: 1447609367
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2138864
LAB Type Physician Office
Facility Name CENTRAL ARK CARDIOLOGY ASSOCIATES
Street 3 MEDICAL PARK DR, SUITE 301
City BENTON
State AR
ZIP 72015
Phone 501 776-6252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director DR. JEFFREY STEWART

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