04D2148289 CLIA NUMBER - URGENT CARE ASSOCIATES

Laboratory Demographics

CLIA Number: 04D2148289

Facility Name: URGENT CARE ASSOCIATES

Facility Address:
50 HIGHWAY 79 N SUITE C
MAGNOLIA, AR
ZIP 71753
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Facility Phone Number: 870 904-3762

Facility Type: Other - URGENT CARE FACILITY

Certificate Type: Waiver

NPI Number: 1790291797

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	04D2148289
LAB Type	Other - URGENT CARE FACILITY
Facility Name	URGENT CARE ASSOCIATES
Street	50 HIGHWAY 79 N SUITE C
City	MAGNOLIA
State	AR
ZIP	71753
Phone	870 904-3762
CertificateType	4
CertificateEffectiveDate	5/8/2024
CertificateExpirationDate	5/7/2026
FacilityType	Waiver

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