04D2148709 CLIA NUMBER - WITOLD CZERWINSKI MD PA

Laboratory Demographics

  • CLIA Code: 04D2148709
  • Facility Name: WITOLD CZERWINSKI MD PA
  • Facility Address: 1368 NEELEY ST
    BATESVILLE, AR
    ZIP 72501
  • Facility Phone: 870 793-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WITOLD CZERWINSKI
  • NPI Number: 1710952270
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 04D2148709
LAB Type Physician Office
Facility Name WITOLD CZERWINSKI MD PA
Street 1368 NEELEY ST
City BATESVILLE
State AR
ZIP 72501
Phone 870 793-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Physician Office
Lab Director DR. WITOLD CZERWINSKI

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