04D2154013 CLIA NUMBER - GOLD CROSS FAMILY CLINIC

Laboratory Demographics

CLIA Number: 04D2154013

Facility Name: GOLD CROSS FAMILY CLINIC

Facility Address:
500 N MAIN
JUNCTION CITY, AR
ZIP 71749
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Facility Phone Number: 870 924-4889

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1235633793

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	04D2154013
LAB Type	Community Clinic
Facility Name	GOLD CROSS FAMILY CLINIC
Street	500 N MAIN
City	JUNCTION CITY
State	AR
ZIP	71749
Phone	870 924-4889
CertificateType	4
CertificateEffectiveDate	10/24/2023
CertificateExpirationDate	10/23/2025
FacilityType	Waiver

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