04D2164479 CLIA NUMBER - COMPASSIONATE CARE CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 04D2164479
  • Facility Name: COMPASSIONATE CARE CLINIC, LLC
  • Facility Address: 904 EAST RACE AVENUE
    SEARCY, AR
    ZIP 72143
  • Facility Phone: 501 279-1512
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: HOLLY E. BUNN
  • NPI Number: 1235781733
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2164479
LAB Type Practitioner Other
Facility Name COMPASSIONATE CARE CLINIC, LLC
Street 904 EAST RACE AVENUE
City SEARCY
State AR
ZIP 72143
Phone 501 279-1512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Practitioner Other
Lab Director HOLLY E. BUNN

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