04D2144969 CLIA NUMBER - PRECIDENT, PLLC

Laboratory Demographics

  • CLIA Code: 04D2144969
  • Facility Name: PRECIDENT, PLLC
  • Facility Address: 3333 PINNACLE HILLS PKWY STE 140
    ROGERS, AR
    ZIP 72756
  • Facility Phone: 479 755-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SCOTTY L. BOLDING
  • NPI Number: 1588176630
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 04D2144969
LAB Type Physician Office
Facility Name PRECIDENT, PLLC
Street 3333 PINNACLE HILLS PKWY STE 140
City ROGERS
State AR
ZIP 72756
Phone 479 755-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director DR. SCOTTY L. BOLDING

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