04D2165113 CLIA NUMBER - WRMC RHEUMATOLOGY CLINIC

Laboratory Demographics

CLIA Number: 04D2165113

Facility Name: WRMC RHEUMATOLOGY CLINIC

Facility Address:
#12 HOSPITAL CIRCLE, SUITE A
BATESVILLE, AR
ZIP 72501
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Facility Phone Number: 870 262-1500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235518739

Taxonomy: 207RR0500X - Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

CLIA Record

Field Name	Field Value
CLIA Number	04D2165113
LAB Type	Physician Office
Facility Name	WRMC RHEUMATOLOGY CLINIC
Street	#12 HOSPITAL CIRCLE, SUITE A
City	BATESVILLE
State	AR
ZIP	72501
Phone	870 262-1500
CertificateType	4
CertificateEffectiveDate	4/19/2023
CertificateExpirationDate	4/18/2025
FacilityType	Waiver

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