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04D2147100 CLIA NUMBER - ST BERNARDS INTERNAL MEDICINE RESIDENCY CLINIC

Laboratory Demographics

CLIA Number: 04D2147100

Facility Name: ST BERNARDS INTERNAL MEDICINE RESIDENCY CLINIC

Facility Address:
300 CARSON ST, SUITE A
JONESBORO, AR
ZIP 72401
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Facility Phone Number: 870 910-7799

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver
NPI Number: 1245771831

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 04D2147100
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ST BERNARDS INTERNAL MEDICINE RESIDENCY CLINIC
Street 300 CARSON ST, SUITE A
City JONESBORO
State AR
ZIP 72401
Phone 870 910-7799
CertificateType 4
CertificateEffectiveDate 4/12/2024
CertificateExpirationDate 4/11/2026
FacilityType Waiver

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